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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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KINNEAR, TRENTON WYATT       
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: INTEGRIS CARDIOVASCULAR PHYSICIANS
3433 NW 56TH ST
BUILDING B SUITE 760
OKLAHOMA CITY OK 73112

Address last updated on 2/13/2024
Phone #: (405) 951-4354
Fax #:
County: OKLAHOMA
License: 43144
Dated: 4/12/2024
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Vascular 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 SURGERY - Vascular Surgery - General
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
INTEGRIS CARDIOVASCULAR PHYSICIANS
3433 NW 56TH ST
BUILDING B SUITE 760
OKLAHOMA CITY OK 73112

Phone #: (405) 951-4354
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JOANNA LEE HART PA 1236

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