Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kennett Pediatrics and Asolescents Medicine LLC

Organization Family Medicine Physician · NPI 1629511415

Kennett Pediatrics and Asolescents Medicine LLC provides Family Medicine Physician services in Kennett, Missouri. Registered with an NPI since 2016.

In the registry since
2016
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

211 Teaco Rd
Kennett, 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

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629511415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amelia Ledbetter — Director Of Operations · (573) 335-4715
NPI enumeratedNovember 28, 2016
Last updated in NPPESNovember 28, 2016
Mailing address211 Teaco Rd, Kennett, MO 63857-3236

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