Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENISHA SHAWNTA PEMBERTON, M.D.
ActiveKENISHA SHAWNTA PEMBERTON, M.D. is a Family Medicine healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1114289907 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1114289907
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2012 (14.037151578884 yrs)
- Last Updated
- Jun 14, 2022
- License
-
ME117245 (FL)
Practice Information
- Address
-
4430 MISSOURI AVEFORT LEONARD WOOD, MO, 654739098Browse MO providers · Browse ZIP 65473
- Phone
- 5735960417
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FORT LEONARD WOOD, MO
| Name | Credential | NPI |
|---|---|---|
| JERRY P SEILER | MD | 1821265869 |
| JOHN BALLENTINE | — | 1659804664 |
| KRISTEN ANNE TOBIN | MD | 1447716832 |
| JOHN MALOVRH | DO | 1902461452 |
| DR. PAIGE MORELAND | MD | 1952922056 |
| JESSICA KWONG YUN CHAN | MD | 1194307769 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.