Doctors Inn Clinic LLC
Doctors Inn Clinic LLC is a healthcare organization registered as Family Medicine Physician in Kennett, MO, holding Type 2 (organization) NPI 1114117306 since 2007. The authorized official on file is Debbie Wade, Np.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114117306 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Doctors Inn Clinic LLC |
| Practice address | 1112 SOUTH BYP STE C, SUITE C, Kennett, MO, 63857 |
| Phone | 5737171776 |
| Fax | 5737171572 |
| Enumeration date | 2007-07-25 |
| Last updated in NPPES | 2010-02-26 |
Authorized official
| Name | Debbie Wade |
|---|---|
| Title | Np |
| Phone | 5737171776 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 2000148413 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 595409004 | Medicaid | MO | — |
| 109494A-001 | Other | MO | BLUE CROSS MISSOURI |
| SM707 | Other | MO | BLUE CROSS ARKANSAS |
| 150606001 | Other | MO | ARKANSAS MEDICAID |
Copy-ready billing details
Provider: Doctors Inn Clinic LLC NPI: 1114117306 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1112 SOUTH BYP STE C, SUITE C, Kennett, MO, 63857
Verify this record
Cross-check NPI 1114117306 against the authoritative CMS record: view Doctors Inn Clinic LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Doctors Inn Clinic LLC?
Who is the authorized official for Doctors Inn Clinic LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-02-26.