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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 PM CDT

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KIMMEL, MICHELLE DAWN
Practice Address: 1201 HERITAGE CIRCLE
PAWNEE OK 74058

Address last updated on 6/8/2023
Phone #: (918) 762-6534
Fax #: (918) 762-4614
County: PAWNEE
License: 17678
Dated: 7/1/1991
Expires: 7/1/2024
Training Issued: 6/21/1990
Training Expires: 7/1/1991
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1990
CME Year: 2024
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: None listed
Locations: Hours: Languages:
1201 HERITAGE CIRCLE
PAWNEE OK 74058

Phone #: (918) 762-6534
Fax #: (918) 762-4614
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TONYA HOUSTON APRN 63708
HUNTER PARKER APRN 109236
ASHLEY ROBERTS APRN 103283

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