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Willow Family Medicine, LLC

Rural Health Clinic/Center in Kennett, MO · enumerated 2007 · authorized official Jennifer Puckett, Physician, Owner.

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

National Provider Identifier

1720272834

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Registry record

Entity type Organization (Type 2)
Legal business name Willow Family Medicine, LLC
Practice address 304 Teaco Rd, Suite A, Kennett, MO, 63857
Fax (573) 888-0304
Enumeration date Aug 31, 2007
Last updated in NPPES Feb 7, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2006013170 (MO) Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 2006013170 (MO) Primary

Authorized official

Name Jennifer Puckett
Title Physician, Owner

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

What is the NPI number for Willow Family Medicine, LLC?
The NPI for Willow Family Medicine, LLC is 1720272834, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Willow Family Medicine, LLC?
NPPES lists Jennifer Puckett (Physician, Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-07.