Kennett Hma, LLC

NPI #1851707871 in Kennett, Missouri

Provider Information

NPI Number: 1851707871
Entity Type: Organization
Organization Name: Kennett Hma, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: KENNETT HMA, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jul 10, 2014
Last Updated: Jul 10, 2014

Practice Location

Address: 1312 1ST ST
City: Kennett
State: Missouri
ZIP Code: 63857-2526
Phone: (573) 717-1080

Authorized Official

Name: JAMES P WRIGHT
Title: SR. DIRECTOR
Phone: (615) 465-7587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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