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LEWIS, KENNETH CHARLES       
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: WESTERN ROCKIES INTERVENTIONAL PAIN SPECIALISTS
KOKOPELLI PLAZA
551 KOKOPELLI BLVD SUITE K
FRUITA CO 81521

Address last updated on 4/2/2012
Phone #: (970) 270-2259
Fax #: (970) 858-0798
County: NOT OKLAHOMA
License: 18888
Dated: 5/24/1994
Expires: 5/1/2013
License Type: Medical Doctor
Specialty: Anesthesiology
Pain Management (Anesthesiology)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Az Coll Of Med, Tucson AZ 85724
Graduated: 5 / 1990
CME Year: 2014
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
WESTERN ROCKIES INTERVENTIONAL PAIN SPECIALISTS
KOKOPELLI PLAZA
551 KOKOPELLI BLVD SUITE K
FRUITA CO 81521

Phone #: (970) 270-2259
Fax #: (970) 858-0798
Mon:
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