For the television station in San Angelo, Texas that held the KCTV call letters from 1957 to 1983, see KLST.

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While it changed its primary network affiliation, KCMO-TV remained a secondary affiliate of Du Mont; it would disaffiliate from that network when it ceased operations on August 6, 1956, resulting in CBS becoming the station's sole network affiliation.

For most of its first decade on the air, KCMO-TV branded on-air as "Television 5"; subsequently in 1966, the station's branding was simplified to "TV 5", a moniker which remained in use until the callsign change to KCTV in 1983 (around the time the latter brand was first adopted, it also began using a logo similar to that used at that period by NBC-affiliated sister station WNEM-TV in Bay City, Michigan).

It also relocated its operations across the Missouri-Kansas state line from its original studio facilities on East 31st Street to a new facility on Shawnee Mission Parkway in Fairway, Kansas.

The station's original studio building in Union Hill now houses the offices and production facilities of PBS member station KCPT (channel 19), although KCTV's transmitter antenna continues to operate from an adjacent tower located on the studio grounds (see below).

The station is owned by the Meredith Local Media subsidiary of the Meredith Corporation, as part of a duopoly with My Network TV affiliate KSMO-TV (channel 62). On cable, KCTV is available on Charter Spectrum, Comcast Xfinity and Consolidated Communications channel 3, and Google Fiber and AT&T U-verse channel 5.

The two stations share studio facilities located on Shawnee Mission Parkway (U. There is a high definition feed provided on Spectrum digital channel 1209, Xfinity channel 803, Consolidated channel 620 and U-verse channel 1005.With Channel 4's contract with the network set to expire in five months, NBC quickly approached other area stations to replace WDAF-TV as its Kansas City affiliate.It first entered into discussions with KCTV management about becoming an NBC affiliate.It originally served as a primary affiliate of ABC and a secondary affiliate of the Du Mont Television Network, both of which had been affiliated with WDAF-TV (channel 4) on a part-time basis since that station signed on as the Kansas City market's first television station in October 1949.The station originally operated from studio facilities located on East 31st Street in Kansas City, Missouri's Union Hill neighborhood.Meredith sold the KCMO radio stations to Richard Fairbanks in 1983, but retained ownership of KCMO-TV.