PRO OF KENNETT, INC.
NPI 1811108608
Specialist in Kennett, MO

Active since May 24, 2007
306 RECOVERY RD, KENNETT, MO 63857(573) 888-9190(573) 888-9404 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pro Of Kennett, Inc. NPPES

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

PRO OF KENNETT, INC. (NPI 1811108608) is a healthcare organization registered as a specialist in Kennett, Missouri and active in the NPI registry since May 2007. The organization lists Tena R. Vandeventer, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811108608
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRO OF KENNETT, INC.
Location Address306 RECOVERY RDKennett, MO 63857-3267
Mailing Address306 Recovery RdKennett, MO 63857-3267 · (573) 888-9190 · Fax (573) 888-9404
Fax(573) 888-9404
Organization SubpartNo
Authorized OfficialTena R. VandeventerOffice Manager · (573) 888-9190
Enumeration DateMay 24, 2007
Last NPPES UpdateNovember 15, 2007
NPI 1811108608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in MO · R0582 Licensed in MO · 02042 Licensed in MO · 01506
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 107027 (MO)
306 RECOVERY RD, Kennett, MO 63857

Other Identifiers 4

Other1710935176Individual Npi #
Other1205884335Individual Npi #
Other1144278201Individual Npi #
Other1639127186Individual Npi #

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

Accepted Insurance

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.

Specialist
306 RECOVERY RD
KENNETT, MO 63857
Specialist
306 RECOVERY RD
KENNETT, MO 63857
Speech-Language Pathologist
306 RECOVERY RD
KENNETT, MO 63857

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 Pro Of Kennett, Inc.'s NPI number?

The NPI number for Pro Of Kennett, Inc. is 1811108608. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Pro Of Kennett, Inc. located?

Pro Of Kennett, Inc. is located at 306 Recovery Rd, Kennett, MO 63857. The listed phone number is (573) 888-9190.

What is Pro Of Kennett, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Pro Of Kennett, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Pro Of Kennett, Inc. 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 Pro Of Kennett, Inc. was last updated on November 15, 2007. 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.