Individual
KEVIN CHARLES MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9490
(405) 230-9421
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9490
(405) 230-9421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1062
OK
Other
Enumeration date
02/15/2006
Last updated
06/04/2024
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