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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 12, 2024 1:44 PM CDT
Next Update: Sunday, May 12, 2024 4:30 PM CDT

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NWOKOLO, OKEY       
Practice Address: 1515 NORTH CLASSEN BLVD
OKLAHOMA CITY OK 73106

Address last updated on 9/14/2023
Phone #: (405) 232-0529
Fax #: (405) 235-2832
County: OKLAHOMA
License: 19613
Dated: 11/17/1995
Expires: 11/1/2024
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Nigeria, Fac Of Med, Enugu State, Nigeria
Graduated: 6 / 1980
CME Year: 2024
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
2/14/2024 Complaint Citation
Board Filings and/or Orders:
02/14/2024
02/14/2024
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Deaconess Campus (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
1515 NORTH CLASSEN BLVD
OKLAHOMA CITY OK 73106

Phone #: (405) 232-0529
Fax #: (405) 235-2832
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NGOZI NWOKOLO APRN 79899
PORSHA RICHARDSON APRN 83097

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