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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT

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GREEN, KEVIN LEE       
Practice Address: TULSA ACCIDENT CARE CENTER
5711 E 71ST ST. #100
TULSA OK 74136

Address last updated on 7/11/2024
Phone #: (918) 888-8080
Fax #:
County: TULSA
License: 3016
Dated: 2/14/2019
Expires: 3/31/2025
Temp. Ltr. Issued: 1/8/2019
Temp. Ltr. Expires: 3/7/2019
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:
TULSA ACCIDENT CARE CENTER
5711 E 71ST ST. #100
TULSA OK 74136

Phone #: (918) 888-8080
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RYAN DAVID MYERS MD 31279
STEVEN L NUSSBAUM DO 3826

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