Demasters, Kenneth

Demasters, Kenneth is an individual health care provider with primary practice located at 507 Ne 12Th St , Moore OK 73160-5807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Demasters, Kenneth can be contacted via phone (405) 703-4202.

Contact Information

Primary practice address
507 Ne 12Th St Moore OK 73160-5807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1077 Oklahoma

Profile Details

NPI number 1073696605
LBN Legal business name Demasters, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated May 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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