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BOOTHEEL FAMILY PRACTICE
NPI 1477091890
Family Medicine in Kennett, MO

Active since February 06, 2017
105 E WASHINGTON ST, KENNETT, MO 63857(573) 888-1137(573) 888-0920 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bootheel Family Practice NPPES

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

BOOTHEEL FAMILY PRACTICE (NPI 1477091890) is a healthcare organization registered as a family medicine in Kennett, Missouri and active in the NPI registry since February 2017. The organization lists Kerry Noble, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477091890
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEMISCOT COUNTY MEMORIAL HOSPITAL
Location Address105 E WASHINGTON STKennett, MO 63857-2041
Mailing Address105 E. WashingtonKennett, MO 63857 · (573) 888-1137 · Fax (573) 888-0920
Phone(573) 888-1137
Fax(573) 888-0920
Organization SubpartNo
Authorized OfficialKerry NobleCeo · (573) 359-3612
Enumeration DateFebruary 6, 2017
✔ NPI 1477091890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
105 E WASHINGTON ST, Kennett, MO 63857
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Other Names 1

Doing Business AsBootheel Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

WUTHISAK SOONATTRAKUL
Internal Medicine
105 E WASHINGTON ST
KENNETT, MO 63857
Dunklin County (573) 888-1137
AMY R LOCKHERT
Clinic/Center (Rural Health)
105 E WASHINGTON ST
KENNETT, MO 63857
Dunklin County (573) 888-1137
AMY LOCKHERT
Family Medicine
105 E WASHINGTON ST
KENNETT, MO 63857
Dunklin County (573) 888-1137

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 Pemiscot County Memorial Hospital's NPI number?

The NPI number for Pemiscot County Memorial Hospital is 1477091890. It was assigned to this organization in the NPPES registry on February 6, 2017. The provider is doing business as Bootheel Family Practice.

Where is Pemiscot County Memorial Hospital located?

Pemiscot County Memorial Hospital is located at 105 E Washington St, Kennett, MO 63857. The listed phone number is (573) 888-1137.

What is Pemiscot County Memorial Hospital'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 Pemiscot County Memorial Hospital was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.