The holder whose full name is Massey, Kenneth Robert,come from Terre Haute IN,hold the Physician Assistant - Prescriptive Authority license(NO.10000863A) which status is Active.
| Name | Massey, Kenneth Robert |
|---|---|
| License Number | 10000863A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Terre Haute |
| State | IN |