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Oklahoma Board of Medical Licensure and Supervision

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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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MEANS, KELLY DEAN       
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: MEMORIAL MEDICAL GROUP-GENERAL SURGERY
110 NW 31ST THIRD FLOOR
LAWTON OK 73505

Address last updated on 6/24/2021
Phone #: (580) 510-7042
Fax #: (580) 510-7044
County: COMANCHE
License: 19022
Dated: 7/1/1994
Expires: 11/11/2022
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1992
CME Year: 2024
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 SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
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: None listed
Locations: Hours: Languages:
MEMORIAL MEDICAL GROUP-GENERAL SURGERY
110 NW 31ST THIRD FLOOR
LAWTON OK 73505

Phone #: (580) 510-7042
Fax #: (580) 510-7044

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