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Oklahoma Board of Medical Licensure and Supervision

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KIRK, JOHN KENNETH       
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: EMERALD CARE CENTER SW
5600 E WALKER
OKLAHOMA CITY OK 73109

Address last updated on 10/3/2019
Phone #: (405) 416-2812
Fax #:
County: OKLAHOMA
License: 1638
Dated: 10/5/2015
Expires: 1/30/2021
Temp. Ltr. Issued: 6/1/2015
Temp. Ltr. Expires: 11/6/2015
License Type: Occupational Therapy Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2020
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.
Locations: Hours: Languages:
EMERALD CARE CENTER SW
5600 E WALKER
OKLAHOMA CITY OK 73109

Phone #: (405) 416-2812
Fax #:

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