Individual
MASON RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20920 W 151ST ST STE 100, OLATHE, KS 66061-7243
(913) 355-7160
(913) 782-1097
Mailing address
20920 W 151ST ST STE 100, OLATHE, KS 66061-7243
(913) 355-7160
(913) 782-1097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01827
KS
Other
Enumeration date
08/12/2015
Last updated
07/18/2024
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