Kenneth Thomas Mason JR., PA-C

NPI #1528656337 in Ardmore, Pennsylvania

Provider Information

NPI Number: 1528656337
Entity Type: Individual
Name: Kenneth Thomas Mason JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 7, 2021
Last Updated: Jan 7, 2021

Practice Location

Address: 200 W MONTGOMERY AVE
City: Ardmore
State: Pennsylvania
ZIP Code: 19003-1416
Phone: (610) 228-0816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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