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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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WALKER, KENNETH BRUCE       
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: MERCY MEMORIAL ED DEPARTMENT
4300 W. MEMORIAL RD.
OKLAHOMA CITY OK 73120

Address last updated on 2/23/2024
Phone #: (405) 755-1515
Fax #:
County: OKLAHOMA
License: 1270
Dated: 4/1/2003
Expires: 3/31/2025
Temp. Ltr. Issued: 2/14/2003
Temp. Ltr. Expires: 3/31/2003
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:
MERCY MEMORIAL ED DEPARTMENT
4300 W. MEMORIAL RD.
OKLAHOMA CITY OK 73120

Phone #: (405) 755-1515
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ROBERT DANFORD CRANE MD 27260
ANDREW EATON DO 5372
KEITH KURT FISCHBORN MD 27723
JOHN DALE GRIZZLE II MD 20170
JESSE RAY HILL MD 26139
STEPHEN AKIRA HOPKINS MD 24615
GARY MONROE LAWRENCE MD 14150
CASEY LYNN MARKLAND MD 24603
BRENT ALAN MEFFORD MD 25486
NESTOR FERNANDEZ PINAROC MD 19456
MICHAEL DUANE PLINSKY MD 26506
JOHN EDWARD SEGUIN MD 19008
JIGNESH JAYESHCHANDRA VERAGIWALA MD 23499
BRENT CURTISS WILSON MD 17280
ROBERT WILLIAM WORDEN DO 4572

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