STEIN, KENNETH MICHAEL - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

STEIN, KENNETH MICHAEL

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:	SSM MEDICAL GROUP ENT CLINIC 535 NW 9TH ST #300 OKLAHOMA CITY OK 73102 Address last updated on 3/5/2024
Phone #:	(405) 272-6027
Fax #:
County:	OKLAHOMA
License:	962
Dated:	4/1/1999
Expires:	3/31/2025
Temp. Ltr. Issued:	2/18/1999
Temp. Ltr. Expires:	3/31/1999
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:
SSM MEDICAL GROUP ENT CLINIC 535 NW 9TH ST #300 OKLAHOMA CITY OK 73102 Phone #: (405) 272-6027 Fax #:

Hospital Privileges:

SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
KEITH FREDRICK CLARK	MD	14220
TROY EARL MAJOR III	DO	4923
CHRIS REGIER	DO	4987

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