person
Kenneth Demasters
Medical Physician Assistant in Moore, Oklahoma
NPI 1073696605

Kenneth Demasters is a Medical Physician Assistant based in Warr Acres, OK and is specialized in Medical. Kenneth Demasters practices in Moore, OK. The NPI Number for Kenneth Demasters is 1073696605 and holds a License No. PA1077 (Oklahoma).

The current practice location address for Kenneth Demasters is 507 Ne 12Th St, Moore, OK and can be reached out via phone at 405-703-4202.

Location: 507 Ne 12Th St, Moore, OK, 73132-6413
person
Provider Profile Details
NPI Number
1073696605
Provider Name
Kenneth Demasters
Credential
Provider Entity Type
Individual
Gender
Male
Address
507 Ne 12Th St, Moore, OK, 73132-6413
Phone Number
405-703-4202
Fax Number
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
507 Ne 12Th St
City
State
Zip
73160-5807
Phone Number
405-703-4202
Fax Number
person
Provider Business Mailing Address Details
Address
507 Ne 12Th St
City
State
Zip
73160-5807
Phone Number
405-703-4202
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1077 (Oklahoma)
Definition
Definition to come...
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