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1629511415
KENNETT PEDIATRICS AND ASOLESCENTS MEDICINE LLC
KENNETT, MO
NPI
1629511415
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Entity Type
Organization
Authorized Contact
AMELIA D LEDBETTER
Director Of Operations
573-335-4715
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2016-11-28
Last Update Date
2016-11-28
Business Address
KENNETT PEDIATRICS AND ASOLESCENTS MEDICINE LLC
211 TEACO RD
KENNETT, MO 63857-3236
Phone number: 573-888-0001
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Mailing Address
KENNETT PEDIATRICS AND ASOLESCENTS MEDICINE LLC
211 TEACO RD
KENNETT, MO 63857-3236
Phone number: 573-888-0001
Copy
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