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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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MCDONOUGH, KELLY NEAVES       
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: BREAST HEALTH NETWORK EDMOND
2601 KELLEY POINTE PKWY
SUITE 101
EDMOND OK 73013

Address last updated on 6/4/2024
Phone #: (405) 844-2601
Fax #: (405) 844-2610
County: OKLAHOMA
License: 19508
Dated: 8/24/1995
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
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 / 1994
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 RADIOLOGY (Diagnostic Radiology specific)
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 HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
Physicians Direct Network
Preferred Community Choice
Railroad Medicare
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
BREAST HEALTH NETWORK EDMOND
2601 KELLEY POINTE PKWY
SUITE 101
EDMOND OK 73013

Phone #: (405) 844-2601
Fax #: (405) 844-2610
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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