Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON PEMBERTON, MD
ActiveAnatomic Pathology & Clinical Pathology · EDGEWOOD, KY
Registration Details
- NPI Number
- 1891781969
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2005 (20.585451173956 yrs)
- Last Updated
- Sep 20, 2018
- Licenses
-
25835 (KY)25835 (KY)
Practice Information
- Address
-
1 MEDICAL VILLAGE DREDGEWOOD, KY, 410173403Browse KY providers · Browse ZIP 41017
- Phone
- 8593012018
- Fax
- 8593012073
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in EDGEWOOD, KY
| Name | Credential | NPI |
|---|---|---|
| HEATHER LOUISE RUTLEDGE | MD | 1780789412 |
| DR. DONN R BURNS | MD | 1285725739 |
| MOHAMMAD M YOUSEF | MD | 1346321478 |
| MICAELA ROSS | MD | 1235346453 |
| DR. SHELLEY IRENE ODRONIC | M.D. | 1851616676 |
| MR. JEREMY D HART | MD | 1750609053 |
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.