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MCPHERSON MEDICAL & DIAGNOSTIC, LLC
NPI 1124679774
Family Medicine in Kennett, MO

Active since September 25, 2019
304 TEACO RD STE A, KENNETT, MO 63857(573) 717-1072 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2023, Oct 1, 2019, Sep 25, 2019 (3 updates tracked since 2019).

About Mcpherson Medical & Diagnostic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCPHERSON MEDICAL & DIAGNOSTIC, LLC (NPI 1124679774) is a healthcare organization registered as a family medicine in Kennett, Missouri and active in the NPI registry since September 2019. The organization lists Amelia Doris Ledbetter, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1124679774
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCPHERSON MEDICAL & DIAGNOSTIC, LLC
Location Address304 TEACO RD STE AKennett, MO 63857-3268
Mailing AddressPo Box 12545Belfast, ME 04915-4016
Phone(573) 717-1072
Organization SubpartNo
Authorized OfficialAmelia Doris LedbetterDirector Of Operations · (573) 335-4715
Enumeration DateSeptember 25, 2019
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1124679774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
304 TEACO RD STE A, Kennett, MO 63857
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCPHERSON MEDICAL & DIAGNOSTIC, LLC
Clinic/Center (Rural Health)
304 TEACO RD STE A
KENNETT, MO 63857
Dunklin County (573) 559-3591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcpherson Medical & Diagnostic, LLC's NPI number?

The NPI number for Mcpherson Medical & Diagnostic, LLC is 1124679774. It was assigned to this organization in the NPPES registry on September 25, 2019.

Where is Mcpherson Medical & Diagnostic, LLC located?

Mcpherson Medical & Diagnostic, LLC is located at 304 Teaco Rd Ste A, Kennett, MO 63857. The listed phone number is (573) 717-1072.

What is Mcpherson Medical & Diagnostic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mcpherson Medical & Diagnostic, LLC was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.