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MCCOY, KENNETH ALBERT       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: ST JOHN EYE INSTITUTE
1717 S UTICA AVE
SUITE 107
TULSA OK 74104

Address last updated on 12/23/1999
Phone #:
Fax #:
County: TULSA
License: 10782
Dated: 3/15/1976
Expires: 3/1/1996
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212
Graduated: / 1972
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF OPHTHALMOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ST JOHN EYE INSTITUTE
1717 S UTICA AVE
SUITE 107
TULSA OK 74104

Phone #:
Fax #:

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