Kennett Pediatrics and Adolescents Medicine LLC
Kennett Pediatrics and Adolescents Medicine LLC provides Pediatrics Physician services in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2005.
- Licensed in
- MO
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
211 Teaco RdKennett, MO 63857-3236
Phone: (573) 888-0001
Fax: (573) 888-0006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X (MO) |
Record details
| NPI number | 1063414704 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrew Beach — Md Owner · (573) 888-0001 |
| NPI enumerated | August 12, 2005 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | Po Box 908, Kennett, MO 63857-0908 |
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Kennett Hma, LLC
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Kennett Pediatric
211 Teaco Rd, Kennett, MO 63857-3236 · (573) 888-0004
-
Manubay Medical Clinic MD Inc
1312 1st St, Kennett, MO 63857-2526 · (573) 888-1224
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Teresita I Manubay, MD
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McPherson Medical & Diagnostic, LLC
211 Teaco Rd, Kennett, MO 63857-3236 · (573) 888-0001