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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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CRANMER, KERRY WAYNE       
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: 3545 NW 58TH STREET
SUITE# 750
OKLAHOMA CITY OK 73112-4710

Address last updated on 5/23/2022
Phone #: (405) 949-2005
Fax #: (405) 949-2199
County: OKLAHOMA
License: 10880
Dated: 6/22/1976
Expires: 6/1/2024
License Type: Medical Doctor
Specialty: GERIATRICS
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1975
CME Year: 2025
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Coventry Health Care National Network
First Health
Global Health HMO
HealthChoice
Humana ChoiceCare
PacifiCare of Oklahoma, Inc
PPO USA
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
United Healthcare Choice
United Healthcare HMO
Hospital Privileges: Select Specialty Hospital/OKC-East
Oklahoma City, OK
Locations: Hours: Languages:
3545 NW 58TH STREET
SUITE# 750
OKLAHOMA CITY OK 73112-4710

Phone #: (405) 949-2005
Fax #: (405) 949-2199
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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