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

Kiara Pendergraft, DO

Individual provider Emergency Medicine Physician · NPI 1679194583

Kiara Pendergraft, DO is an Emergency Medicine in Joplin, Missouri. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2020, 6 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Arkansas and Tennessee.

Years since qualifying
6
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
AR, TN
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1031 McIntosh Cir
Joplin, MO 64804-3643
Phone: (417) 347-1111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence E-14748 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence E-14748 (AR)

Record details

NPI number1679194583
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 1, 2020
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address1102 W 32nd St, Joplin, MO 64804-3503

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2020 (6 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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