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Search › Missouri › 164W00000X

Chanceler Pemberton

NPI 1760310163 · on the registry since 2026

Practice

Address
130 Calo Ln
Lake Ozark, MO 65049
Phone
(573) 745-5253
Organisation at this address
Change Academy Lake Ozark
Change Academy Lake Of The Ozarks
Change Academy Lake Of The Ozarks
Change Academy At Lake Of The Ozarks
Change Academy At Lake Of The Ozarks
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri