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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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MUCKALA, KENNETH ARTHUR
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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: |
7916 S OSWEGO PLACE
TULSA OK 74136-1817
Address last updated on 8/2/2024 |
| Phone #: |
(918) 477-7508 |
| Fax #: |
(918) 743-8609 |
| County: |
TULSA |
| License: |
16314 |
| Dated: |
9/11/1987 |
| Expires: |
9/1/2025 |
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Temp.
Lic.
Issued:
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8/4/1987 |
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Temp.
Lic.
Expires:
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9/12/1987 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
UNIV OF MN MED SCH, MINNEAPOLIS MN 55455 |
| Graduated: |
6 /
1967 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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: |
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| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
St. Francis Hospital
Tulsa, OK
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