Individual
MRS. KATHLEEN E MASON-MORTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
105 S BRYANT AVE, EDMOND, OK 73034-6399
(405) 715-2022
(405) 715-2905
Mailing address
105 S BRYANT AVE, EDMOND, OK 73034-6330
(405) 715-2022
(405) 715-2905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
964
OK
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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