Individual
LESLIE PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1921 LEITCHFIELD RD, OWENSBORO, KY 42303-1404
(270) 478-5334
(270) 216-6920
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TP698
KY
Other
Enumeration date
03/30/2018
Last updated
03/03/2022
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