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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 15, 2024 7:09 PM CDT
Next Update: Thursday, May 16, 2024 2:50 AM CDT

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KIRK, KENNETH JOHN       
Practice Address: FIRST PRIORITY MEDICAL CLINIC
9820 E 41ST ST
SUITE 302
TULSA OK 74146
Address last updated on 9/12/2023
Phone #: (918) 398-9663
Fax #: (918) 398-9673
County: TULSA
License: 15217
Dated: 7/1/1985
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Pain Medicine
GERIATRICS
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1984
CME Year: 2024
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/13/2021 License Reinstated
3/31/2017 Agreement
3/31/2017 Probation Ended
3/12/2015 Modification Order
11/7/2013 Modification Order
5/19/2011 Modification Order
8/18/2008 Probation
7/17/2008 Suspension, License
7/20/2006 Probation
5/5/2005 Revoked License
Board Filings and/or Orders:
04/05/2017
03/17/2015
11/15/2013
05/19/2011
07/17/2008
04/28/2008
04/28/2008
07/20/2006
05/11/2006
05/05/2005
12/09/2004
12/09/2004
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Okmulgee Memorial Hospital, Inc.
Okmulgee, OK
Locations: Hours: Languages:
FIRST PRIORITY MEDICAL CLINIC
9820 E 41ST ST
SUITE 302
TULSA OK 74146
Phone #: (918) 398-9663
Fax #: (918) 398-9673 		Mon: 9:00AM - 5:30PM
Tue: 9:00AM - 5:30PM
Wed: 9:00AM - 5:30PM
Thu: 9:00AM - 5:30PM
Fri: 9:00AM - 5:30PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHIRLIEJEAN ARNOLD APRN 105697
ANDREA BUNCH APRN 111005
AMANDA DOANE APRN 14724
ITZEL ROMO APRN 117387

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