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

Willow Family Medicine, LLC

Organization Family Medicine Physician · NPI 1720272834

Willow Family Medicine, LLC is a Family Medicine Physician in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
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 63857-3266
Phone: (573) 888-0303
Fax: (573) 888-0304
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 2006013170 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2006013170 (MO)

Record details

NPI number1720272834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Puckett — Physician, Owner · (573) 888-0303
NPI enumeratedAugust 31, 2007
Last updated in NPPESFebruary 7, 2008
Mailing address304 Teaco Rd, Suite A, Kennett, MO 63857-3266

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