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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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HUDSON, SCOTT KERWIN       
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: UTICA PARK CLINIC ENT SOUTH
9001 S 101ST E AVE SU 280
TULSA OK 74133

Address last updated on 3/7/2024
Phone #: (918) 459-8824
Fax #: (918) 307-2239
County: TULSA
License: 30492
Dated: 3/24/2014
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
Head & Neck Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 2009
CME Year: 2026
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 OTOLARYNGOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UTICA PARK CLINIC ENT SOUTH
9001 S 101ST E AVE SU 280
TULSA OK 74133

Phone #: (918) 459-8824
Fax #: (918) 307-2239
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MARGIE BAUMAN APRN 62949
MONICA D BROUSSARD PA 2365

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