Episode 57: Dr. Lara Briseño Kenney (She/Her) of Leeton Medical - Leeton, MO

Direct Primary Care Doctor, Hematologist/Oncologist

Dr. Kenney is standing up.
Dr. Lara Briseño Kenney of Leeton Medical - Leeton, MO

Dr. Lara Briseño Kenney is a board certified Internal Medicine physician with additional specialty training and board certifications in Hematology, Oncology, Hospice and Palliative Care. Her practice is Leeton Medical.

Born and raised on the West Coast, she first moved to the Midwest in 1997 to attend Medical School.

After graduating from the University of Missouri Kansas City School of Medicine, she entered into active duty in the United States Army and completed her Internal Medicine training at Ft. Sam Houston. During her 7 years of Army service she deployed several times in support of the Military Police Corp.

She returned to the University of Kansas City to complete additional years of specialized medical training in Hematology Oncology and met and married her husband. In 2014 they moved back to his hometown of Clinton Missouri, to raise a family.

Patients have described her as smart, down to earth, honest, and practical. She prides herself in taking a true personal interest in caring for each and every patient.

Apart from medicine, her other interests include delicious food, family, fellowship and everything to do with horses.

Dr. Kenney shares how she is able to run a Hematology/Oncology practice driven by the DPC model. She shares how even in her small town her practice continues to be the dream practice she always envisioned!

Resources Mentioned by Dr. Kenney

Live DPC Events:

DPC Alliance Masterminds: Click HERE to register.

Use code MYDPCSTORY for $50 off registration to any of the events!


- The Official Guide to Opening Your Own Direct Primary Care Practice by Dr. Doug Farrago.

- Sparks Start Fires: A Guide for Dreamers Who Are Also Doctors by Dr. Julie Gunther

- Direct Primary Care: The Cure To Our Broken Healthcare System by Dr. Paul Thomas


- The Direct Specialty Care Alliance

- The FB Groups "Specialists for direct care" and "Direct Specialty Care Alliance




Leeton Medical in pictures

Dr. Kenney's clinic in Leeton, MO. She purchased the home (see HERE for the original Zillow listing) for around 19K in the foreclosure sale.She has done creative things with her space including turning a walk in closet into an exam room. It is a renovation she continues work on and, as mentioned in her interview, she has a beautifully painted blue door and the shutters she made one clinic day... because she can.



Welcome to the podcast,

Dr. Kenny,

I am happy to be here.

You are from the west coast originally, and then you ended up in the Midwest going to medical school.

So I definitely could relate to that journey is my journey out to the Midwest was for the same reason to go to Creighton. So can you tell us how that will happen? That you went from the west coast to the middle.

Sure. Did your family think you were crazy too? Yeah, so actually

my parents were like, there's nowhere else.

You can go. You must go to Creighton because Laura Freberg, she was one of the administrative assistants when they went out to Omaha and they checked out Creighton to see, you know, what is this Creighton business about? Why are we paying so much for her to go to school here? They were completely lost in the hallway and Laura Freberg walked up to them and she was like you look lost.

Can I help you? And so when they got a taste of that Midwestern, oh yeah. Yup. And so they were like, yep, you're going to Creighton period.

deal done. Take care of my baby. You're going to green. Yeah. Yeah. I um, I was born and raised in California and then we moved to Oregon.

And I knew from a very early age, I wanted to be a doctor. I don't really remember ever wanting to be anything else, honestly. And so when I was in high school, like many of us, I was overachiever, straight A's, all of that stuff. And I applied to a number of programs that had guaranteed and I pretty much had my heart going to write with a guarantee to Baylor.

Because similarly, when we went to visit, it was like awesome experience. And I really liked Texas And I really thought that's what I was going to do. And then my. I was on a flight to Alaska for one of his hunting, fishing trips. I don't know what, and in the back seat pocket of the airplane that he was sitting on, he found the brochure for the university of Missouri, Kansas city six year program.

And he brought it home from that trip. And he said, you know, I think you should apply to this. It's only six years. It's direct. You don't have to worry about getting into medical school. You don't have to worry about all the strings attached and everything. And gosh, if I remember it was like days before the deadline, I scratched it out.

I didn't even type it. And you know, all the other, other applications have great attention to detail and proofreading and typing my mom typed them up and all of these things that would, I just got down something on paper and got it in before it was due. And the brochure said something about only accepting 10 out of state a year.

I don't know something small. And I thought whatever. And then a couple months later I got a packet saying that they wanted to interview me. And I flew out with my mom to Kansas city. Having never been farther east than probably New Mexico, maybe. Both sides of my family are from California.

Everybody I know lives in California. So my mom and I fly into Kansas city similar experience. Everybody's super nice. They pick us up from the airport. Everybody's just salt of the earth. And we got to the interviews and everybody had their parents with them. Cause we were all, 17, 18 year old kids and my mom.

Very I'd assume, you know, my whole family knew none of us there. We're all pretty like humble working class and everybody else was from out of state as well. And they all had both parents with them and they were super assertive. And like my kid, this, my kid that my mom didn't say a word. I was just kinda like, all right, whatever.

I mean, They had like full business suits on, I think I was in a turtleneck and a pair of black jeans. If I remember correctly, totally differently. And I just, went through the thing, did my interview. I told my mom, I thought that it was a good interview, came home and I got offered the spot and none of them did.

So I guess it was meant to be. But that's how I ended up in the Midwest. I came out for medical school. There's no other reason for me to come out here and then now I live here, but that's another

it's amazing how things happen for a reason.

And, the idea of us Californians moving anywhere else. I still think about wow, like I never would have expected to leave California for any reason. And then, the heart of the Midwest is truly like I if I could choose a second place where I didn't care, if I had blood family or not, I would move to superior Nebraska or Blair Nebraska I've promised.

And I go back

to Texas, but my husband's absolutely not. And COVID, it's pretty much sealed the deal on one, for sure. For sure. I love food.

Does the medical school still offer a six-year program?

Yeah. They've restructured the curriculum a little bit.

I think so when I was in the program and they accepted about a hundred a year that, plus, or minus a dozen or so they're chartered like the way they were able to get funding for an additional medical school in the state was they really had to focus on in-state students. And they're supposed to deliver like a certain amount of primary care to rural Missouri.

So that was why they limited the out-of-state students rather severely. And the, we did our first year, our second year, and then when we were going into our third year they offered the spots for the attrition, we'd lost like a dozen people or so. And they filled some of those spots with traditional students, but usually it was like two, three, it wasn't, it really wasn't enough to change the character of the experience.

I went back there for fellowship when it had changed quite a bit. It's much more of a mix of some six year and more traditional students. They've pivoted some for whatever reason, but,

I'm glad you mentioned that though, because especially if there's somebody who knows a person that is looking to apply to medical school, to mention that as an option is really, yeah.

It was really a good thing because, had I ever heard of Creighton university? Heck no. Before, before my friend told me, Hey, they, for me, they have a post-bac program. So that's how I ended up at Now you are an internal medicine doctor by training and then did fellowship in hematology, oncology.

So I want to ask when you were in training and when you were in residency, when you did your fellowship, what was that life like for.

So part of the thing that was unique, give it up steer for program. I think there's a few other in the country that they all do their own thing at the time that I was at young Casey, the emphasis was on a heavy clinical.

So we started clinicals our first year. So we had clinicals for six years and very heavy in internal medicine. So every single year I had two months of inpatient internal medicine, and then we had a continuity clinic with a one day a week clinic with the same doctor for that whole time we had, we were set up in like small teams.