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FEEHS, KENNETH ROBERT       
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: NAVY FLIGHT MEDICINE OFFICE
72ND MEDICAL GROUP
7050 AIR DEPOT BLVD BLDG 1094
TINKER AIR FORCE BASE OK 73145-8102

Address last updated on 10/12/2021
Phone #: (405) 582-6615
Fax #:
County: OKLAHOMA
License: 35234
Dated: 11/25/2019
Expires: 11/1/2022
Temp. Lic. Issued: 10/28/2019
Temp. Lic. Expires: 1/16/2020
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Wake Forest Univ Sch of Med, Winston-Salem, NC 27157
Graduated: 5 / 2017
CME Year: 2022
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NAVY FLIGHT MEDICINE OFFICE
72ND MEDICAL GROUP
7050 AIR DEPOT BLVD BLDG 1094
TINKER AIR FORCE BASE OK 73145-8102

Phone #: (405) 582-6615
Fax #:
Mon:
Tue:
Wed:
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Fri:
Sat:
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