Kennett Pediatrics and Adolescents Medicine LLC
NPI 1063414704 · Rural Health Clinic/Center · Kennett, MO
Kennett Pediatrics and Adolescents Medicine LLC is a Rural Health Clinic/Center organization in Kennett, MO (NPI 1063414704).
Provider details
- NPI number
- 1063414704
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Beach, MD Owner(573) 888-0001
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-12
- Last updated
- 2022-07-21
Frequently asked questions
- What is Kennett Pediatrics and Adolescents Medicine LLC's NPI number?
- Kennett Pediatrics and Adolescents Medicine LLC's National Provider Identifier (NPI) is 1063414704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennett Pediatrics and Adolescents Medicine LLC?
- Kennett Pediatrics and Adolescents Medicine LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kennett Pediatrics and Adolescents Medicine LLC located?
- Kennett Pediatrics and Adolescents Medicine LLC's practice location on file with NPPES is 211 Teaco Rd, Kennett, MO 63857-3236.
- What is Kennett Pediatrics and Adolescents Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Kennett Pediatrics and Adolescents Medicine LLC is (573) 888-0001.
- Who is the authorized official for Kennett Pediatrics and Adolescents Medicine LLC?
- The authorized official listed on Kennett Pediatrics and Adolescents Medicine LLC's NPPES record is Andrew Beach, MD Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennett Pediatrics and Adolescents Medicine LLC's NPI active?
- Yes — Kennett Pediatrics and Adolescents Medicine LLC's NPI (1063414704) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.