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

Pemiscot County Memorial Hospital

Organization Family Medicine Physician · NPI 1477091890

Pemiscot County Memorial Hospital provides Family Medicine Physician services in Kennett, Missouri. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

105 E Washington St
Kennett, MO 63857-2041
Phone: (573) 888-1137
Fax: (573) 888-0920
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1477091890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Noble — Ceo · (573) 359-3612
Other names Bootheel Family Practice
NPI enumeratedFebruary 6, 2017
Last updated in NPPESFebruary 6, 2017
Mailing address105 E. Washington, Kennett, MO 63857

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