Mr Keland Jerome Mask, PT in Midwest City, OK - Physical Medicine & Rehabilitation

Mr Keland Jerome Mask, PT is a Physical Medicine & Rehabilitation physician based in Midwest City, Oklahoma. Mr Keland Jerome Mask is licensed to practice in Oklahoma (license number 1821) and his current practice location is 6904 E. Reno Avenue, Midwest City, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 737-5555.

NPI number for Mr Keland Jerome Mask is 1285688861 and his current mailing address is 6904 E. Reno Avenue, Medwest City, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285688861.

Contact Information

	Mr Keland Jerome Mask, PT
	6904 E. Reno Avenue, Midwest City, OK 73110-2152
	(405) 737-5555
	(405) 737-5556

Physician's Profile

Full Name	Mr Keland Jerome Mask
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	6904 E. Reno Avenue, Midwest City, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1285688861
Provider Enumeration Date: 05/19/2006
Last Update Date: 07/09/2012

Medical Identifiers

Medical identifiers for Mr Keland Jerome Mask such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285688861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	1821 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Keland Jerome Mask is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Keland Jerome Mask, PT 6904 E. Reno Avenue, Medwest City, OK 73110-2152 Ph: (405) 737-5555	Mr Keland Jerome Mask, PT 6904 E. Reno Avenue, Midwest City, OK 73110-2152 Ph: (405) 737-5555

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Mr Keland Jerome Mask, PT - Physical Medicine & Rehabilitation in Midwest City, OK