Kennett Pediatric
Pediatrics Physician · Kennett, MO
Practice location
211 Teaco RdKennett, MO 63857-3236
- Phone
- (573) 888-0004
- Fax
- (573) 888-0006
NPI record
- NPI
- 1780859512
- Entity type
- Organization (Type 2)
- Enumeration date
- April 23, 2008
- Last updated
- April 23, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
— | — |
Authorized official
- Name
- Mrs. Amy D Ledbetter
- Title
- Director of Operations
- Phone
- (573) 651-4488
About Kennett Pediatric
Kennett Pediatric is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 211 Teaco Rd, Kennett, MO 63857-3236. The NPI number 1780859512 was assigned on April 23, 2008 and the record was last updated on April 23, 2008.
The authorized official for this organization is Mrs. Amy D Ledbetter, Director of Operations.
Frequently asked questions
What is the NPI number of Kennett Pediatric?
The NPI number is 1780859512.
What is the phone number of Kennett Pediatric?
The phone number listed for the practice location is (573) 888-0004.
Where is Kennett Pediatric located?
211 Teaco Rd, Kennett, MO 63857-3236.
What is the taxonomy code for Kennett Pediatric?
The primary taxonomy code is 208000000X – Pediatrics Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatrics Physician providers in Kennett
- Teresita I. Manubay, MD1312 1st St
- McPherson Medical & Diagnostic, LLC211 Teaco Rd
- Kennett Hma, LLC1312 1st St
- Manubay Medical Clinic MD Inc1312 1st St