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

Pro of Kennett, Inc

Organization Specialist · NPI 1811108608

Pro of Kennett, Inc provides Specialist services in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

306 Recovery Rd
Kennett, MO 63857-3267 Not confirmed with CMS for 18 years — call before visiting
Phone: (573) 888-9190
Fax: (573) 888-9404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence R0582 (MO)
Specialist Taxonomy 174400000X · Licence 02042 (MO)
Specialist Taxonomy 174400000X · Licence 01506 (MO)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 107027 (MO)

Record details

NPI number1811108608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tena Vandeventer — Office Manager · (573) 888-9190
NPI enumeratedMay 24, 2007
Last updated in NPPESNovember 15, 2007
Mailing address306 Recovery Rd, Kennett, MO 63857-3267

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