Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kennett Pediatric

Organization Pediatrics Physician · NPI 1780859512

Kennett Pediatric provides Pediatrics Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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