KENNETT PEDIATRICS AND ADOLESCENTS MEDICINE LLC

Clinic/Center - Rural Health

Active Organization
NPI: 1063414704

Practice Address

211 TEACO RD
Kennett, MO 63857

Phone: (573) 888-0001

Specialties

Specialty Code Primary License
Pediatrics 208000000X No -
Clinic/Center - Rural Health 261QR1300X Yes -

Frequently Asked Questions

NPI 1063414704 is the National Provider Identifier for KENNETT PEDIATRICS AND ADOLESCENTS MEDICINE LLC, a Clinic/Center - Rural Health provider located in Kennett, MO. This NPI was enumerated on August 12, 2005.

Quick Facts

NPI
1063414704
Type
Organization
Enumerated
Aug 12, 2005
Last Updated
Jul 21, 2022

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