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

Willow Family Medicine, LLC

Organization Family Medicine Physician · NPI 1720272834

Willow Family Medicine, LLC provides Family Medicine Physician services in Kennett, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

304 Teaco Rd Ste A
Kennett, MO 63857-3266 Not confirmed with CMS for 18 years — call before visiting
Phone: (573) 888-0303
Fax: (573) 888-0304
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 2006013170 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2006013170 (MO)

Record details

NPI number1720272834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Puckett — Physician, Owner · (573) 888-0303
NPI enumeratedAugust 31, 2007
Last updated in NPPESFebruary 7, 2008
Mailing address304 Teaco Rd, Suite A, Kennett, MO 63857-3266

Other providers in Kennett