Kenneth Demasters

NPI #1073696605 in Moore, Oklahoma

Provider Information

NPI Number
1073696605
Entity Type
Individual
Name
Kenneth Demasters
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Oct 24, 2006
Last Updated
May 29, 2014

Practice Location

Address
507 NE 12TH ST
City
Moore
ZIP Code
73160-5807
Phone
(405) 703-4202

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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