OrganizationActive
Kennett Pediatric
NPI 1780859512 · Pediatrics Physician · Kennett, MO
Kennett Pediatric is a Pediatrics Physician organization in Kennett, MO (NPI 1780859512).
Provider details
- NPI number
- 1780859512
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Ledbetter, Director of Operations(573) 651-4488
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
211 Teaco Rd
Kennett, MO 63857-3236
Phone: (573) 888-0004
Fax: (573) 888-0006
Street-level locationGet directions
Mailing address
211 Teaco Rd
Kennett, MO 63857-3236
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-23
Frequently asked questions
- What is Kennett Pediatric's NPI number?
- Kennett Pediatric's National Provider Identifier (NPI) is 1780859512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennett Pediatric?
- Kennett Pediatric is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kennett Pediatric located?
- Kennett Pediatric's practice location on file with NPPES is 211 Teaco Rd, Kennett, MO 63857-3236.
- What is Kennett Pediatric's phone number?
- The practice phone number listed in the NPPES registry for Kennett Pediatric is (573) 888-0004.
- Who is the authorized official for Kennett Pediatric?
- The authorized official listed on Kennett Pediatric's NPPES record is Amy Ledbetter, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennett Pediatric's NPI active?
- Yes — Kennett Pediatric's NPI (1780859512) is active in the NPPES registry as of the last update on 2008-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.