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JENSEN, KIRK ERNEST       
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: 97TH MDOS/SGOKB
ALTUS AFB OK 73523

Address last updated on 7/28/2003
Phone #: (580) 481-6698
Fax #:
County: JACKSON
License: 23600
Dated: 8/1/2003
Expires: 8/1/2004
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: USUHS F E Hebert Sch of Med Bethesda Md 20814
Graduated: 5 / 2000
CME Year: 2006
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
97TH MDOS/SGOKB
ALTUS AFB OK 73523

Phone #: (580) 481-6698
Fax #:

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