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

Kennett Pediatric

Organization Pediatrics Physician · NPI 1780859512

Kennett Pediatric is a Pediatrics Physician in Kennett, Missouri. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

211 Teaco Rd
Kennett, MO 63857-3236
Phone: (573) 888-0004
Fax: (573) 888-0006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1780859512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Ledbetter — Director Of Operations · (573) 651-4488
NPI enumeratedApril 23, 2008
Last updated in NPPESApril 23, 2008
Mailing address211 Teaco Rd, Kennett, MO 63857-3236

Other providers in Kennett