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

Pro of Kennett, Inc

Organization Specialist · NPI 1811108608

Pro of Kennett, Inc is a Specialist in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

306 Recovery Rd
Kennett, MO 63857-3267
Phone: (573) 888-9190
Fax: (573) 888-9404
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence R0582 (MO)
Specialist Taxonomy 174400000X · Licence 02042 (MO)
Specialist Taxonomy 174400000X · Licence 01506 (MO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 107027 (MO)

Record details

NPI number1811108608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tena Vandeventer — Office Manager · (573) 888-9190
NPI enumeratedMay 24, 2007
Last updated in NPPESNovember 15, 2007
Mailing address306 Recovery Rd, Kennett, MO 63857-3267

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