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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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WHITE, KEVIN LYLE       
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: MERCY HOSPITAL
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Address last updated on 7/29/2024
Phone #: (405) 755-1515
Fax #:
County: OKLAHOMA
License: 23997
Dated: 6/9/2004
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
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: 5 / 2000
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
MERCY HOSPITAL
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Phone #: (405) 755-1515
Fax #:
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16412 Muirfield Pl Suite B
Edmond, OK 73013

Phone #: (903) 521-4025
Fax #: (2) 202-
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902 NW 139 St. Pkwy
Edmond, OK 73013

Phone #: (405) 716-7030
Fax #: (1) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TAYLOR BROOKE HERZER PA 2937
KALLIE BLYTHE HUMPHREYS PA 2188
ANNA RAWDON APRN 77066
GARY SEYMOUR APRN 59673

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