Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Pemberton, MD

Individual provider Anatomic Pathology Physician · NPI 1891781969

Jackson Pemberton, MD is an Anatomic Pathology Physician in Edgewood, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-2018
Fax: (859) 301-2073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 25835 (KY)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 25835 (KY)

Record details

NPI number1891781969
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESSeptember 20, 2018
Mailing addressPo Box 636324, Cincinnati, OH 45263-6324

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