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

Kenisha Shawnta Pemberton, MD

Individual provider Family Medicine Physician · NPI 1114289907

Kenisha Shawnta Pemberton, MD is a Family Medicine Physician in Fort Leonard Wood, Missouri. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2012
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

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-0417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 237 Payne Pkwy Unit 101, Sarasota, FL 34237-7018 — (941) 893-2556

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME117245 (FL)

Record details

NPI number1114289907
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2012
Last updated in NPPESJune 14, 2022
Certification dateJune 8, 2022

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