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Kennett Pediatric

Pediatrics Physician in Kennett, MO · enumerated 2008 · authorized official Amy Ledbetter, Director of Operations.

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

National Provider Identifier

1780859512

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Registry record

Entity type Organization (Type 2)
Legal business name Kennett Pediatric
Practice address 211 Teaco Rd, Kennett, MO, 63857
Phone (573) 888-0004
Fax (573) 888-0006
Enumeration date Apr 23, 2008
Last updated in NPPES Apr 23, 2008

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Amy Ledbetter
Title Director of Operations
Phone (573) 651-4488

Other identifiers

Identifier Type State Issuer
509371407 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 Pediatric 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 2008-04-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-23.