PLUMMER, KEITH GERRELL - Licensee Information

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Last Update: Monday, November 25, 2024 3:47 AM CST
Next Update: Monday, November 25, 2024 12:00 PM CST

PLUMMER, KEITH GERRELL

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:	HASKELL REGIONAL HOSPITAL 401 NW H STREET STIGLER OK 74462 Address last updated on 2/3/2024
Phone #:	(918) 448-6081
Fax #:
County:	HASKELL
License:	794
Dated:	12/19/1996
Expires:	3/31/2025
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:
HASKELL REGIONAL HOSPITAL 401 NW H STREET STIGLER OK 74462 Phone #: (918) 448-6081 Fax #:

Hospital Privileges:

Haskell County Healthcare System
Stigler, OK
INTEGRIS Marshall Memorial Hospital
Madill, OK
Mercy Hospital Tishomingo (fmly Johnston Memorial)
Tishomingo, OK

Name:	Type:	License Number:
Primary Supervisor(s):
THOMAS CONKLIN JR.	DO	1552
MICHAEL DELL HENDRIX	DO	4194
MARK WILLIAM MCCURRY	MD	14774
PAUL REEL	DO	3340
STEPHEN W. WOODSON	DO	2123

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