KENNETT PEDIATRIC – Pediatrics Physician, NPI 1780859512

KENNETT PEDIATRIC is a healthcare provider. based in Kennett, Missouri. specializing in Pediatrics Physician. The NPI Number for KENNETT PEDIATRIC is 1780859512

Main info

Organization
Name
KENNETT PEDIATRIC
NPI
1780859512
Phone
(573) 888-0004
Address
211 TEACO RD
Authorized Official
MRS. AMY D LEDBETTER DIRECTOR OF OPERATIONS
Enumeration Date
23 April 2008
Last Update Date
23 April 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for KENNETT PEDIATRIC

  • 211, Teaco Road, Kennett, Dunklin County, Missouri, 63857, United States

    KENNETT, MO 638573236

    Phone: (573) 888-0004

    Fax: (573) 888-0006

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63857)

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Frequently asked questions

Can I cross-check KENNETT PEDIATRIC using NPI 1780859512?
NPI 1780859512 belongs to KENNETT PEDIATRIC; compare other details if you need extra assurance.
Is KENNETT PEDIATRIC still an active registrant?
KENNETT PEDIATRIC carries an active NPI according to the public dataset.
What expertise is attributed to KENNETT PEDIATRIC?
KENNETT PEDIATRIC's specialty line reads Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Is KENNETT PEDIATRIC located near Kennett?
KENNETT PEDIATRIC currently maps to Kennett, Missouri in this extract.
Can I trust this NPI listing for KENNETT PEDIATRIC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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