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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Sunday, April 28, 2024 12:00 PM CDT

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WALLACE, KENNETH KNOX
Practice Address: 3000 ROGERS AVE.
FORT SMITH AR 72901
Phone #: (479) 782-8892
Fax #: (479) 872-8840
County: NOT OKLAHOMA
License: 15070
Dated: 4/8/1985
Expires: 4/1/2006
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 1966
CME Year: 2007
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.
Certifications: AMERICAN BOARD OF OPHTHALMOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
3000 ROGERS AVE.
FORT SMITH AR 72901

Phone #: (479) 782-8892
Fax #: (479) 872-8840
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Spanish

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