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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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MCKINNEY, KIBWEI ALESSANDRO       
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: SSM HEALTH
535 NW 9TH STREET
305A
OKLAHOMA CITY OK 73102

Address last updated on 5/27/2024
Phone #: (405) 272-8435
Fax #:
County: OKLAHOMA
License: 32143
Dated: 6/3/2016
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
Allergy
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Raymond & Ruth Perelman Sch of Med at Univ of PA, Philadelphia, PA
Graduated: 5 / 2008
CME Year: 2025
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Oklahoma Surgicare
Oklahoma City, OK
OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
Locations: Hours: Languages:
SSM HEALTH
535 NW 9TH STREET
305A
OKLAHOMA CITY OK 73102

Phone #: (405) 272-8435
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMBER MARIE DOTY PA 1693
PETER LYNN GRAY PA 318
VALERIE ANN STOCKTON PA 839

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