DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH DEMASTERS

Active

KENNETH DEMASTERS is a Medical Physician Assistant healthcare provider located in MOORE, Oklahoma. NPI 1073696605 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · MOORE, OK

Registration Details

NPI Number
1073696605
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2006 (19.828726616606 yrs)
Last Updated
May 29, 2014
License
PA1077 (OK)

Practice Information

Address
507 NE 12TH ST
MOORE, OK, 731605807
Browse OK providers · Browse ZIP 73160
Phone
4057034202
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in MOORE, OK

Name Credential NPI
HARRY B. TAYLOR PA-C 1447256193
MS. LISA DANETTE WEST PA-C 1104896760
AMY ELIZABETH PEDLOW PA-C 1649246331
MRS. MANDI BROOKE RHODES PA-C 1114153293
JAMES SCOTT TURNER PA-C 1790392868
MAKENZI LANE MILLER PA-C 1104581644
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.