KENISHA SHAWNTA PEMBERTON

FORT LEONARD WOOD, MO
NPI1114289907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME117245)
Enumeration Date2012-06-08
Last Update Date2022-06-14
Business Address
KENISHA SHAWNTA PEMBERTON M.D.
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0417
Mailing Address
KENISHA SHAWNTA PEMBERTON M.D.
ATTN: MCXP-DQS-CR 4430 MISSOURI AVENUE, BOX 1267
FORT LEONARD WOOD, MO 65473
Phone number: 573-596-0417
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