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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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ALLEN, DAVID RANDEL       
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: 1111 N LEE AVENUE
SUITE 305
OKLAHOMA CITY OK 73103- 262

Address last updated on 5/17/2024
Phone #: (405) 272-4978
Fax #: (405) 772-4526
County: OKLAHOMA
License: 16180
Dated: 7/1/1987
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Pulmonary Disease
Critical Care Medicine (Internal Medicine)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1986
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: McAlester Regional Health Center
McAlester, OK
Select Specialty Hospital/OKC-East
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
1111 N LEE AVENUE
SUITE 305
OKLAHOMA CITY OK 73103- 262

Phone #: (405) 272-4978
Fax #: (405) 772-4526
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3801 NW 166th Street Suite 4
Edmond, OK 73012

Phone #: (405) 359-1122
Fax #: (4) 201-
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1111 N Lee Avenue Suite 305
Oklahoma City, OK 73103

Phone #: (405) 272-1122
Fax #: (4) 201-
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4 Clark Bass Blvd Suite 301
McAlester, OK 74501

Phone #: (918) 421-4600
Fax #: (1) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KIMBERLY ALLEN APRN 64944
LINDEE RENAE LEDBETTER PA 1824
KIMBERLY MCCOY APRN 12267
JENNIFER PANNELL APRN 108578

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