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KENNETT PEDIATRIC
NPI 1780859512
Pediatrics in Kennett, MO

Active since April 23, 2008
211 TEACO RD, KENNETT, MO 63857(573) 888-0004(573) 888-0006 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kennett Pediatric NPPES

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

KENNETT PEDIATRIC (NPI 1780859512) is a healthcare organization registered as a pediatrics in Kennett, Missouri and active in the NPI registry since April 2008. The organization lists Amy D Ledbetter, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1780859512
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKENNETT PEDIATRIC
Location Address211 TEACO RDKennett, MO 63857-3236
Mailing Address211 Teaco RdKennett, MO 63857-3236 · (573) 888-0004 · Fax (573) 888-0006
Phone(573) 888-0004
Fax(573) 888-0006
Organization SubpartNo
Authorized OfficialAmy D LedbetterDirector Of Operations · (573) 651-4488
Enumeration DateApril 23, 2008
✔ NPI 1780859512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
211 TEACO RD, Kennett, MO 63857
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Other Identifiers 1

Medicaid509371407MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

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

KENNETT PEDIATRICS AND ADOLESCENTS MEDICINE LLC
Clinic/Center (Rural Health)
211 TEACO RD
KENNETT, MO 63857
Dunklin County (573) 888-0001
GINGER L SMITH APRN NP-C
Nurse Practitioner
211 TEACO RD
KENNETT, MO 63857
Dunklin County (573) 888-0001
MCPHERSON MEDICAL & DIAGNOSTIC LLC
Clinic/Center (Rural Health)
211 TEACO RD
KENNETT, MO 63857
Dunklin County (573) 888-0001
MCPHERSON MEDICAL & DIAGNOSTIC, LLC
Pediatrics
211 TEACO RD
KENNETT, MO 63857
Dunklin County (573) 888-0001
KENNETT PEDIATRICS AND ASOLESCENTS MEDICINE LLC
Family Medicine
211 TEACO RD
KENNETT, MO 63857
Dunklin County (573) 888-0001
MISS LORI E PARKER CNP
Clinical Nurse Specialist (Pediatrics)
211 TEACO RD
KENNETT, MO 63857
Dunklin County (573) 888-0004

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 Kennett Pediatric's NPI number?

The NPI number for Kennett Pediatric is 1780859512. It was assigned to this organization in the NPPES registry on April 23, 2008.

Where is Kennett Pediatric located?

Kennett Pediatric is located at 211 Teaco Rd, Kennett, MO 63857. The listed phone number is (573) 888-0004.

What is Kennett Pediatric's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kennett Pediatric accept?

Health plans from UnitedHealthcare list Kennett Pediatric as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennett Pediatric was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.