Kennett Pediatric
Kennett Pediatric is a healthcare organization registered as Pediatrics Physician in Kennett, MO, holding Type 2 (organization) NPI 1780859512 since 2008. The authorized official on file is Amy Ledbetter, Director of Operations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780859512 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kennett Pediatric |
| Practice address | 211 TEACO RD, Kennett, MO, 63857 |
| Phone | 5738880004 |
| Fax | 5738880006 |
| Enumeration date | 2008-04-23 |
| Last updated in NPPES | 2008-04-23 |
Authorized official
| Name | Amy Ledbetter |
|---|---|
| Title | Director of Operations |
| Phone | 5736514488 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 509371407 | Medicaid | MO | — |
Copy-ready billing details
Provider: Kennett Pediatric NPI: 1780859512 Taxonomy: 208000000X (Pediatrics Physician) Address: 211 TEACO RD, Kennett, MO, 63857
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063414704 | Kennett Pediatrics and Adolescents Medicine LLC | Organization | Rural Health Clinic/Center | Kennett, MO |
| 1801224407 | Lori Parker | Individual | Pediatric Clinical Nurse Specialist | Kennett, MO |
| 1083167522 | Ginger Smith | Individual | Nurse Practitioner | Kennett, MO |
| 1629511415 | Kennett Pediatrics and Asolescents Medicine LLC | Organization | Family Medicine Physician | Kennett, MO |
| 1457034001 | Mcpherson Medical & Diagnostic, LLC | Organization | Pediatrics Physician | Kennett, MO |
| 1144041526 | Mcpherson Medical & Diagnostic LLC | Organization | Rural Health Clinic/Center | Kennett, MO |
Verify this record
Cross-check NPI 1780859512 against the authoritative CMS record: view Kennett Pediatric 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
Where is Kennett Pediatric located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-23.