Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELAND JEROME MASK, PT
ActiveMR. KELAND JEROME MASK, PT is a Physical Medicine & Rehabilitation healthcare provider located in MIDWEST CITY, Oklahoma. NPI 1285688861 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · MIDWEST CITY, OK
Registration Details
- NPI Number
- 1285688861
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2006 (20.284721065441 yrs)
- Last Updated
- Jul 9, 2012
- License
-
1821 (OK)
Practice Information
- Address
-
6904 E. RENO AVENUEMIDWEST CITY, OK, 731102152Browse OK providers · Browse ZIP 73110
- Phone
- 4057375555
- Fax
- 4057375556
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
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.