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MILLER, ROMNEY KIP       
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: 53 MONTAGU ST.
CHARLESTON SC 29401

Address last updated on 7/31/2019
Phone #:
Fax #: (337) 534-4388
County: NOT OKLAHOMA
License: 24404
Dated: 8/5/2005
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: Internal Medicine
Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in New Orleans, New Orleans La 70112
Graduated: 5 / 2004
CME Year: 2020
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
53 MONTAGU ST.
CHARLESTON SC 29401

Phone #:
Fax #: (337) 534-4388
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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