KENNETH DEMASTERS
Physician Assistant - Medical
Active
Individual
NPI: 1073696605
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA1077 (OK) |
Frequently Asked Questions
NPI 1073696605 is the National Provider Identifier for KENNETH DEMASTERS, a Physician Assistant - Medical provider located in Moore, OK. This NPI was enumerated on October 24, 2006.
KENNETH DEMASTERS practices at 507 NE 12TH ST, Moore, OK 73160.
Quick Facts
- NPI
- 1073696605
- Type
- Individual
- Enumerated
- Oct 24, 2006
- Last Updated
- May 29, 2014
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