Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Demasters

Individual provider Medical Physician Assistant · NPI 1073696605

Kenneth Demasters is a Medical Physician Assistant in Moore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006

Practice location Address checks out

507 NE 12th St
Moore, OK 73160-5807
Phone: (405) 703-4202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1077 (OK)

Record details

NPI number1073696605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESMay 29, 2014
Mailing address6805 N Woodbrook Rd, Warr Acres, OK 73132-6413

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