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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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DUFFY, KENNETH MARK       
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: SEILING HEALTH CARE CENTER
809 NE HWY 60
P.O. BOX 838
SEILING OK 73663-0838

Address last updated on 6/13/2022
Phone #: (580) 922-4283
Fax #: (580) 922-7717
County: DEWEY
License: 12688
Dated: 7/1/1980
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1979
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/25/2011 Probation Ended
6/25/2009 Probation
6/16/2008 Complaint Citation
Board Filings and/or Orders:
01/08/2010
03/27/2009
11/07/2008
06/16/2008
06/16/2008
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 PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana Medicare Advantage PPO
Multiplan PPO
PHCS (Private Healthcare Systems)
PPO Oklahoma
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Seiling Municipal Hospital
Seiling, OK
Locations: Hours: Languages:
SEILING HEALTH CARE CENTER
809 NE HWY 60
P.O. BOX 838
SEILING OK 73663-0838

Phone #: (580) 922-4283
Fax #: (580) 922-7717
Mon: 8:30AM - 5:00PM
Tue:
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHLEY COOPER APRN 95738
LACEY DUFFY APRN 2083
CRYSTAL AMY MAHANA PA 2955
THOMAS CLAYTON SANDER PA 4476

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