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Kennett Pediatrics and Adolescents Medicine LLC

Rural Health Clinic/Center in Kennett, MO · enumerated 2005 · authorized official Andrew Beach, MD Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063414704

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Registry record

Entity type Organization (Type 2)
Legal business name Kennett Pediatrics and Adolescents Medicine LLC
Practice address 211 Teaco Rd, Kennett, MO, 63857
Phone (573) 888-0001
Fax (573) 888-0006
Enumeration date Aug 12, 2005
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Andrew Beach
Title MD Owner
Phone (573) 888-0001

Other identifiers

Identifier Type State Issuer
599371408 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Kennett Pediatrics and Adolescents Medicine LLC located?
The practice location on file with NPPES is in Kennett, MO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.