MASON, KEVIN CHARLES - Licensee Information

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

MASON, KEVIN CHARLES

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:	MCBRIDE CLINIC ORTHOPEDIC HOSPITAL ACUTE CARE / OUTPATIENT CLINIC OKLAHOMA CITY OK 73114 Address last updated on 4/23/2024
Phone #:	(405) 230-9000
Fax #:
County:	OKLAHOMA
License:	1062
Dated:	4/1/2001
Expires:	3/31/2025
Temp. Ltr. Issued:	12/21/2000
Temp. Ltr. Expires:	3/31/2001
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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:
MCBRIDE CLINIC ORTHOPEDIC HOSPITAL ACUTE CARE / OUTPATIENT CLINIC OKLAHOMA CITY OK 73114 Phone #: (405) 230-9000 Fax #:

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
RONALD MATTHEW DUMIGAN	MD	25963
WINSTON FONG	MD	26909
ROBERT AUGUSTINE GERMAN	MD	19833
M. SEAN O'BRIEN	DO	3481
KEVIN FRANK WILEY	MD	30008

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