NPI
Kenneth Demasters
NPI 1073696605
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2006-10-24
- Last updated
- 2014-05-29
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Specialties
Licenses
- License OK
- PA1077
Location
- Practice location
- 507 NE 12th St
- City
- Moore OK
- Postal code
- 73160-5807
- Phone
- (405) 703-4202
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Medical Physician Assistants in Moore, OK. 6 with this primary taxonomy in the public file.
Other NPIs in Moore, OK. 1,269 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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