Active NPI
Kennett Hma LLC
- Family Medicine Physician
- Kennett, MO
National Provider Identifier
1801201520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KENNETT HMA LLC
- Doing business as
- Twin Rivers Family Practice
- Practice address
- 1231 1St St
Suite 5
Kennett, MO 63857-2527 - Phone
- (573) 888-8690
- Fax
- (573) 717-1085
- NPI assigned
- Jun 23, 2014
- Organization subpart
- Yes
- Parent organization
- KENNETT HMA LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James P Wright
- Title
- Sr. Director
- Phone
- (615) 465-7587
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1231 1St St
Suite 5
Kennett, MO 63857-2527
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7000
Other names 1
- Twin Rivers Family Practice
National Provider Directory
National Provider Directory- Part of
- Kennett Hma LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404950400000",
"number": "1801201520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689022",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370689022",
"telephone_number": "615-465-7000",
"fax_number": "615-465-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 1ST ST",
"address_2": "SUITE 5",
"city": "KENNETT",
"state": "MO",
"postal_code": "638572527",
"telephone_number": "573-888-8690",
"fax_number": "573-717-1085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETT HMA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KENNETT HMA LLC",
"enumeration_date": "2014-06-23",
"last_updated": "2014-07-10",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "SR. DIRECTOR",
"authorized_official_telephone_number": "615-465-7587"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Twin Rivers Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.