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

Kennett Pediatrics and Asolescents Medicine LLC

Organization Family Medicine Physician · NPI 1629511415

Kennett Pediatrics and Asolescents Medicine LLC is a Family Medicine Physician in Kennett, Missouri. Registered with an NPI since 2016.

In the registry since
2016
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

211 Teaco Rd
Kennett, MO 63857-3236
Phone: (573) 888-0001
Fax: (573) 888-0006
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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

Record details

NPI number1629511415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amelia Ledbetter — Director Of Operations · (573) 335-4715
NPI enumeratedNovember 28, 2016
Last updated in NPPESNovember 28, 2016
Mailing address211 Teaco Rd, Kennett, MO 63857-3236

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