Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

DAVIS, KIMBERLY NICHOLE       
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: 3400 SE FRANK PHILLIPS BLVD SUITE 501
BARTLESVILLE OK 74006

Address last updated on 11/18/2024
Phone #: (918) 331-2415
Fax #:
County: WASHINGTON
License: 27796
Dated: 7/1/2012
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: St Matthew's Univ-Grand Cayman
Graduated: 5 / 2010
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3400 SE FRANK PHILLIPS BLVD SUITE 501
BARTLESVILLE OK 74006

Phone #: (918) 331-2415
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
234 SE DeBell
Bartlesville, OK 74006

Phone #: (918) 956-1125
Fax #: (9) 202-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANTHONY NICHOLAS BARBETTINI PA 1347
NEDRA EDWARDS APRN 68861
KRISTIE MATTIX APRN 89898
DORI RAYCOB APRN 107244
KORI SAUER APRN 86258
LYNDEE TAYLOR APRN 1363

Return to Search Licensees page