KENNETH R MASSEY

TERRE HAUTE, IN
NPI1073627691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000863A)
Enumeration Date2006-08-19
Last Update Date2008-05-27
Business Address
-- KENNETH R MASSEY PAC
2723 S 7TH STREET SUITE A
TERRE HAUTE, IN 47802-3558
Phone number: 812-232-8164
Mailing Address
-- KENNETH R MASSEY PAC
5628 PECOS LN
TERRE HAUTE, IN 47805-9686
Phone number:
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