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TIPPIN, KIM GRAVES       
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: 9912 E 21ST
TULSA OK 74129
Phone #:
Fax #:
County: TULSA
License: 17016
Dated: 7/5/1989
Expires: 6/30/1992
Training Issued: 6/30/1989
Training Expires: 9/21/1989
License Type: Medical Doctor
Specialty: Family Medicine
Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1985
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
9912 E 21ST
TULSA OK 74129

Phone #:
Fax #:

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