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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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PORTER, KIMBERLY KAY       
Practice Address: 921 NE 13TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 2/22/2022
Phone #: (405) 456-1000 x4657
Fax #:
County: OKLAHOMA
License: 20583
Dated: 3/26/1998
Expires: 3/1/2025
Training Issued: 6/30/1994
Training Expires: 6/1/1998
License Type: Medical Doctor
Specialty: Internal Medicine
GERIATRICS
Hospitalist
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Southern Il Univ Sch Of Med, Springfield Il 62794
Graduated: 6 / 1994
CME Year: 2025
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
921 NE 13TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 456-1000 x4657
Fax #:
Mon: I WORK 7DAYS ON AND 7 DAYS OFF
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: I WORK AS A HOSPITALIST
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
COMFORT ADEYEMI APRN 103125
AMANDA DEAN RUSSELL PA 4629

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