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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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CROFT, KEVIN WALLACE       
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: 5389 N. 1ST
DURANT OK 74701

Address last updated on 1/19/2022
Phone #: (580) 924-5211
Fax #: (580) 924-6351
County: BRYAN
License: 19261
Dated: 2/7/1995
Expires: 2/1/2026
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: CREIGHTON UNIV SCH OF MED, OMAHA NE 68178
Graduated: 5 / 1989
CME Year: 2028
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
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
Champ VA
CommunityCare HMO, Inc
Dept of Rehabilitation Services (DRS)
First Health
Great West Healthcare
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
Railroad Medicare
SoonerCare HMO
SoonerCare PPO
Texas Medicaid
Tricare for Life
Tricare Standard
United Healthcare Choice
USA Managed Care
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Medical Center of Southeastern OK
Durant, OK
Locations: Hours: Languages:
5389 N. 1ST
DURANT OK 74701

Phone #: (580) 924-5211
Fax #: (580) 924-6351
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 3:00PM
Sat:
Sun:

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