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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, July 1, 2024 3:54 AM CDT
Next Update: Monday, July 1, 2024 12:00 PM CDT

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SELF, KRISTI GOODWIN       
Practice Address: 4219 S WESTERN
OKLAHOMA CITY OK 73109

Address last updated on 6/4/2024
Phone #: (405) 644-5356
Fax #:
County: OKLAHOMA
License: 18173
Dated: 7/1/1992
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
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: 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: AMERICAN BOARD OF PHYSICAL MEDICINE/REHABILITATION
New Patients: No
Medicaid: Yes
Medicare: Yes
   
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
CIGNA PPO
CommunityCare HMO, Inc
First Health
Global Health HMO
HealthChoice
PPO Oklahoma
Preferred Community Choice
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
4219 S WESTERN
OKLAHOMA CITY OK 73109

Phone #: (405) 644-5356
Fax #:
Mon: NO OUTPATIENT PRACTICE ANYMORE
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: PRN JIM THORPE REHAB INPATIENT
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KIMBERLY ANN HORN PA 439
SAVANNAH SANDERS PA 4887
TRACY ANN TROYER PA 5104

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