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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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MILLER, KEVIN WAYNE       
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: OKLAHOMA HEART HOSPITAL PHYSICIANS
5224 E I 240 SERVICE RD STE 100
OKLAHOMA CITY OK 73135

Address last updated on 6/25/2024
Phone #: (405) 608-3800
Fax #:
County: OKLAHOMA
License: 19104
Dated: 7/29/1994
Expires: 7/1/2025
Training Issued: 6/26/1993
Training Expires: 10/1/1994
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Internal Medicine
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
Coventry Health Care National Network
HealthChoice
Humana Tricare/PGBA
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Tricare for Life
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
Locations: Hours: Languages:
OKLAHOMA HEART HOSPITAL PHYSICIANS
5224 E I 240 SERVICE RD STE 100
OKLAHOMA CITY OK 73135

Phone #: (405) 608-3800
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri:
Sat:
Sun: 8:00AM - 5:00PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CAREY BARTNICKI APRN 113552
KRISTEN SWEET APRN 83171

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