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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Monday, December 23, 2024 2:50 AM CST

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KEBBE, JAD       
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: 825 NE 10TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 10/4/2023
Phone #: (405) 271-7001
Fax #: (405) 271-7034
County: OKLAHOMA
License: 31942
Dated: 1/14/2016
Expires: 1/1/2026
Temp. Lic. Issued: 1/6/2016
Temp. Lic. Expires: 3/11/2016
License Type: Medical Doctor
Specialty: Pulmonary Critical Care Medicine
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Lebanese University School of Med, Fac of Med Sciences, Beirut, Lebanon
Graduated: 6 / 2009
CME Year: 2028
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Critical Care Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
Locations: Hours: Languages:
825 NE 10TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 271-7001
Fax #: (405) 271-7034
Mon:
Tue: 1:00PM - 5:00PM ILD
Wed: 1:00PM - 5:00PM ILD
Thu: 8:00AM - 12:00PM ILD
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JARED REMMINGTON AINSWORTH PA 4881
NICOLE MARIE MASSIE PA 2727
KATHARINE IMPELLITIER PENTECOST PA 2343
NATASHA NICOLE SIMONSON PA 2578
ANDREW WONG PA 3079

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