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Search › Oklahoma › Medical Physician Assistant

Kenneth Demasters

NPI 1073696605 · on the registry since 2006

Practice

Address
507 Ne 12th St
Moore, OK 73160
Phone
(405) 703-4202
Organisation at this address
Moore Care Llc
Darren Elenburg Dpm Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-05-29
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma