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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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HACKLER, KEITH       
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: SILOAM SPRINGS HOSPITAL
205 E JEFFERSON ST
SILOAM SPRINGS AR 72761

Address last updated on 1/5/2007
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18804
Dated: 2/24/1994
Expires: 2/1/2007
Temp. Lic. Issued: 1/13/1994
Temp. Lic. Expires: 6/1/1994
License Type: Medical Doctor
Specialty: Radiology
Nuclear Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 1966
CME Year: 2007
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 NUCLEAR MEDICINE
AMERICAN BOARD OF RADIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
SILOAM SPRINGS HOSPITAL
205 E JEFFERSON ST
SILOAM SPRINGS AR 72761

Phone #:
Fax #:

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