Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK LEE PEMBERTON, PAC
ActiveMARK LEE PEMBERTON, PAC is a Surgical Physician Assistant healthcare provider located in SHAWNEE MISSION, Kansas. NPI 1669433652 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SHAWNEE MISSION, KS
Registration Details
- NPI Number
- 1669433652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2006 (20.336038956662 yrs)
- Last Updated
- Mar 20, 2025
- License
-
1500212 (KS)
Practice Information
- Address
-
7450 KESSLER ST STE 202SHAWNEE MISSION, KS, 662042553Browse KS providers · Browse ZIP 66204
- Phone
- 9136329480
- Fax
- 9136329499
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in SHAWNEE MISSION, KS
| Name | Credential | NPI |
|---|---|---|
| EDWIN JOSHUA CROSIER | PA-C | 1447559752 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.