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

Search Results

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

Return to Search Licensees page

DOMEK, KAITLIN PAIGE       
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: WARREN CLINIC COLON AND RECTAL SURGERY
4735 E 91ST ST
STE 200
TULSA OK 74137

Address last updated on 5/11/2024
Phone #: (918) 794-4788
Fax #: (918) 794-4789
County: TULSA
License: 38360
Dated: 7/12/2021
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: General Surgery
Colon & Rectal Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2015
CME Year: 2027
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 COLON AND RECTAL SURGERY
AMERICAN BOARD OF SURGERY
New Patients: Yes
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
WARREN CLINIC COLON AND RECTAL SURGERY
4735 E 91ST ST
STE 200
TULSA OK 74137

Phone #: (918) 794-4788
Fax #: (918) 794-4789
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

Return to Search Licensees page