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

Mark Lee Pemberton, PAC

Individual provider Surgical Physician Assistant · NPI 1669433652

Mark Lee Pemberton, PAC is a Surgical Physician Assistant in Shawnee Mission, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

7450 Kessler St Ste 202
Shawnee Mission, KS 66204-2553
Phone: (913) 632-9480
Fax: (913) 632-9499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1500212 (KS)

Record details

NPI number1669433652
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 29, 2006
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address7450 Kessler St Ste 202, Shawnee Mission, KS 66204-2553

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