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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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WISE, KIMBERLY MARIE       
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: 2201 MCKOWN DRIVE
SUITE 1
NORMAN OK 73072-6602

Address last updated on 6/16/2024
Phone #: (405) 329-5613
Fax #: (405) 360-7747
County: CLEVELAND
License: 19103
Dated: 7/20/1994
Expires: 7/1/2025
Training Issued: 7/1/1993
Training Expires: 10/1/1994
License Type: Medical Doctor
Specialty: Ophthalmology
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: 6 / 1993
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 OPHTHALMOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: Norman Regional Hospital
Norman, OK
Locations: Hours: Languages:
2201 MCKOWN DRIVE
SUITE 1
NORMAN OK 73072-6602

Phone #: (405) 329-5613
Fax #: (405) 360-7747
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri:
Sat:
Sun:

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