Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Doctors Inn Clinic LLC

Organization Family Medicine Physician · NPI 1114117306

Doctors Inn Clinic LLC is a Family Medicine Physician in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1112 S Byp Ste C Ste C
Kennett, MO 63857-3738
Phone: (573) 717-1776
Fax: (573) 717-1572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2000148413 (MO)

Record details

NPI number1114117306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Wade — Np · (573) 717-1776
NPI enumeratedJuly 25, 2007
Last updated in NPPESFebruary 26, 2010
Mailing address1112 South Byp, Suite C, Kennett, MO 63857-3738

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