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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 25, 2024 3:48 AM CST
Next Update: Wednesday, December 25, 2024 12:00 PM CST

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TERRY, KIMBERLY KAY       
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: 1220 N ELM
BROKEN ARROW OK 74012

Address last updated on 6/25/2023
Phone #: (918) 258-1955
Fax #:
County: TULSA
License: 18081
Dated: 7/1/1992
Expires: 7/1/2025
Training Issued: 6/27/1991
Training Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1991
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
One Health Plan PPO
PHCS (Private Healthcare Systems)
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
1220 N ELM
BROKEN ARROW OK 74012

Phone #: (918) 258-1955
Fax #:
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Tue:
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Sat:
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1620 east 12th street
Tulsa, OK 74120

Phone #: (918) 588-8873
Fax #: (9) 201-
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Sun: consultant patient visit time
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
WHITNEY KERN APRN 4846
LAURYN TREPP APRN 99747

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