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

McPherson Medical & Diagnostic, LLC

Organization Family Medicine Physician · NPI 1124679774

McPherson Medical & Diagnostic, LLC is a Family Medicine Physician in Kennett, Missouri. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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

304 Teaco Rd Ste A
Kennett, MO 63857-3268
Phone: (573) 717-1072
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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
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1124679774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amelia Ledbetter — Director Of Operations · (573) 335-4715
NPI enumeratedSeptember 25, 2019
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing addressPo Box 12545, Belfast, ME 04915-4016

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