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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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DECOURSEY, KENNETH 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: SOUTHERN PLAINS MEDICAL CENTER
2222 IOWA AVE
P O BOX 1069
CHICKASHA OK 73018-2738
Phone #:
Fax #:
County: GRADY
License: 16212
Dated: 7/1/1987
Expires: 6/30/1990
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduated: 5 / 1984
CME Year:
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SOUTHERN PLAINS MEDICAL CENTER
2222 IOWA AVE
P O BOX 1069
CHICKASHA OK 73018-2738

Phone #:
Fax #:

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