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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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WONG, KENNETH MATTHEW
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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.
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| Practice Address: |
3433 NW 56TH STREET
SUITE 660
OKLAHOMA CITY OK 73112-4450
Address last updated on 5/3/2024 |
| Phone #: |
(405) 947-3341 |
| Fax #: |
(405) 951-4356 |
| County: |
OKLAHOMA |
| License: |
18891 |
| Dated: |
6/8/1994 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Cardiovascular Disease
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430 |
| Graduated: |
6 /
1988 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
Great Plains Regional Medical Center
Elk City, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Lakeside Women's Hospital
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Renaissance Women's Hospital of Edmond
Edmond, OK
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