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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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KIM, DONALD HYUNGJOON       
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: BETHESDA MEDICAL GROUP
2821 SW 119TH STREET
OKLAHOMA CITY OK 73170

Address last updated on 5/13/2024
Phone #: (405) 692-9977
Fax #: (405) 691-6347
County: CLEVELAND
License: 21721
Dated: 7/27/2000
Expires: 7/1/2025
Training Issued: 7/23/1998
Training Expires: 7/1/2001
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Spartan Hlth Sci Univ, Vieux Fort, St Lucia
Graduated: 4 / 1997
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/29/2023 Voluntary Submittal to Jurisdiction
12/4/2020 Complaint Citation
Board Filings and/or Orders:
06/29/2023
04/27/2023
01/18/2023
12/04/2020
12/04/2020
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Champ VA
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
BETHESDA MEDICAL GROUP
2821 SW 119TH STREET
OKLAHOMA CITY OK 73170

Phone #: (405) 692-9977
Fax #: (405) 691-6347
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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