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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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JOLLIFF, KEVIN LEE       
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: 4221 S. WESTERN AVENUE
SUITE 5050
OKLAHOMA CITY OK 73109

Address last updated on 5/23/2024
Phone #: (405) 636-7900
Fax #: (405) 644-5168
County: OKLAHOMA
License: 23996
Dated: 7/1/2006
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2004
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 SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Bass Baptist Health Center
Enid, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
4221 S. WESTERN AVENUE
SUITE 5050
OKLAHOMA CITY OK 73109

Phone #: (405) 636-7900
Fax #: (405) 644-5168
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SARAH ELIZABETH HUFSTEDLER PA 3044
RYLEIGH MCCONNELL PA 3068
JOSEPH EDWARD WALSH PA 4600

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