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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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KAKISH, WILLIAM RANDALL       
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: MERCY GASTROENTEROLOGY
5200 E. I-240 SERVICE ROAD SUITE 330
OKLAHOMA CITY OK 73135

Address last updated on 6/26/2024
Phone #: (405) 416-9703
Fax #: (405) 416-9704
County: OKLAHOMA
License: 17088
Dated: 8/31/1989
Expires: 8/1/2025
Training Issued: 5/23/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: Gastroenterology
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 / 1988
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
MERCY GASTROENTEROLOGY
5200 E. I-240 SERVICE ROAD SUITE 330
OKLAHOMA CITY OK 73135

Phone #: (405) 416-9703
Fax #: (405) 416-9704
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CATHERINE DEAN APRN 104973
STEPHEN HIX APRN 5278

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