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Next Update: Thursday, December 19, 2024 2:50 AM CST
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CLARK, ROBERT KENNETH
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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.
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| Practice Address: |
11401 SOUTH WESTERN
OKLAHOMA CITY OK 73170
Address last updated on 4/4/2012 |
| Phone #: |
(405) 735-3041 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
13610 |
| Dated: |
5/17/1982 |
| Expires: |
5/1/2013 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Mi Med Sch, Ann Arbor Mi 48109 |
| Graduated: |
5 /
1971 |
| CME Year: |
2013 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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Board Filings and/or Orders:
12/04/2003
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
11401 SOUTH WESTERN
OKLAHOMA CITY OK 73170
Phone #:
(405) 735-3041
Fax #:
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Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 4:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 12:00PM
Sat:
Sun: |
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