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WARD, KIMBER A
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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.
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Practice Address: |
12545 W WINDSOR AVE
AVONDALE AZ 85392-5555
Address last updated on 8/5/2016 |
Phone #: |
(623) 533-5734 |
Fax #: |
(000) 000-0000 |
County: |
NOT OKLAHOMA |
License: |
24198 |
Dated: |
10/8/2004 |
Expires: |
10/1/2017 |
Temp.
Lic.
Issued:
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9/30/2004 |
Temp.
Lic.
Expires:
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11/4/2004 |
License Type: |
Medical Doctor |
Specialty: |
Emergency Medicine
General Surgery |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
UNIV OF LOUISVILLE SCH OF MED, LOUISVILLE KY 40202 |
Graduated: |
6 /
1968 |
CME Year: |
2019 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF COLON AND RECTAL SURGERY
AMERICAN BOARD OF SURGERY |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Chickasaw Nation Medical Ctr (fmly Carl Albert Indian Health Facility-IHS)
Ada, OK
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