| Kenneth Demasters, | |
|
507 Ne 12th St, Moore, OK 73160-5807 | |
| (405) 703-4202 | |
| Not Available |
| Full Name | Kenneth Demasters |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 507 Ne 12th St, Moore, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073696605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA1077 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Demasters, 6805 N Woodbrook Rd, Warr Acres, OK 73132-6413 Ph: () - | Kenneth Demasters, 507 Ne 12th St, Moore, OK 73160-5807 Ph: (405) 703-4202 |
Leah Sitton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 551 Se 4th St, Moore, OK 73160 Phone: 405-703-9321 | |
Mrs. Jessica Elise Jackson, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2109 S Santa Fe Ave, Moore, OK 73160 Phone: 405-213-0256 | |
Mr. Tim M Laing, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 700 S Telephone Rd, Moore, OK 73160 Phone: 405-793-9355 | |
Miss Kaitlin Elizabeth Wood, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2900 S Telephone Rd Ste 250, Moore, OK 73160 Phone: 405-237-7500 Fax: 405-237-7512 | |
Makenzi Lane Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-378-5491 Fax: 405-378-5492 | |
Ms. Lisa Danette West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 S Telephone Rd, Moore, OK 73160 Phone: 405-793-9355 Fax: 405-793-1621 |