| Kevin J Masterson Md | |
|
20455 Lorain Rd Suite 102 Fairview Park OH 44126-3529 | |
| (440) 356-5477 | |
| (440) 356-5885 |
| Full Name | Kevin J Masterson Md |
|---|---|
| Speciality | Family Medicine |
| Location | 20455 Lorain Rd, Fairview Park, Ohio |
| Authorized Official Name and Position | Kevin J Masterson (PRESIDENT) |
| Authorized Official Contact | 4403565477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Masterson Md 20455 Lorain Rd. Suite 102 Fairview Park OH 44126-3529 Ph: (440) 356-5477 | Kevin J Masterson Md 20455 Lorain Rd Suite 102 Fairview Park OH 44126-3529 Ph: (440) 356-5477 |
| NPI Number | 1427320266 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427320266 | NPI | - | NPPES |
| 0481554 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35-04-5048-M (Ohio) | Primary |
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