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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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KENNEDY, CRAIG ALLEN       
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: 1145 S UTICA SUITE 365
TULSA OK 74104

Address last updated on 8/7/2024
Phone #: (918) 728-3354
Fax #: (918) 728-7554
County: TULSA
License: 14981
Dated: 9/22/1984
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Family Medicine
Hospitalist
Urgent Care Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: OR HLTH SCI UNIV SCH OF MED, PORTLAND OR 97201
Graduated: 6 / 1978
CME Year: 2027
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 EMERGENCY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Creek Nation Community Hospital
Okemah, OK
Eastern Oklahoma Medical Center
Poteau, OK
Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
Hillcrest Hospital South
Tulsa, OK
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Locations: Hours: Languages:
1145 S UTICA SUITE 365
TULSA OK 74104

Phone #: (918) 728-3354
Fax #: (918) 728-7554
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ALFRED W GARTZKE PA 854
CARL DOUGLAS JACKSON PA 2616
MAX BRIAN SWENSON JR PA 15

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