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

Search Results

Last Update: Wednesday, December 25, 2024 3:48 AM CST
Next Update: Wednesday, December 25, 2024 12:00 PM CST

Return to Search Licensees page

FONKEM, VEDMIA LUTHER       
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 MIDWEST CITY
2825 PARKLAWN DR.
MIDWEST CITY OK 73110

Address last updated on 6/23/2024
Phone #: (405) 610-4411
Fax #:
County: OKLAHOMA
License: 33965
Dated: 7/1/2020
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Windsor Univ, Basseterre, St Kitts & Nevis
Graduated: 12 / 2017
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SSM HEALTH MIDWEST CITY
2825 PARKLAWN DR.
MIDWEST CITY OK 73110

Phone #: (405) 610-4411
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JEFFERSON MBENGA APRN 17427

Return to Search Licensees page