WHITE, KEVIN LYLE - Licensee Information

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST

WHITE, KEVIN LYLE

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 #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
16412 Muirfield Pl Suite B Edmond, OK 73013 Phone #: (903) 521-4025 Fax #: (2) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
902 NW 139 St. Pkwy Edmond, OK 73013 Phone #: (405) 716-7030 Fax #: (1) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
TAYLOR BROOKE HERZER	PA	2937
KALLIE BLYTHE HUMPHREYS	PA	2188
ANNA RAWDON	APRN	77066
GARY SEYMOUR	APRN	59673