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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 8, 2024 6:58 PM CDT
Next Update: Thursday, May 9, 2024 2:50 AM CDT

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LITTLE, KENDALL JAY        View on
Practice Address: No Current Practice Address
Address last updated on 10/13/2023
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 23444
Dated: 6/27/2003
Expires: 6/1/2024
License Type: Medical Doctor
Specialty: Emergency 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 / 2000
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Edmond
Edmond, OK
INTEGRIS Grove General Hospital
Grove, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
No Current Practice Address
Phone #:
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 3:00PM
Sat:
Sun:
820 NW 13th
Oklahoma City, OK 73106

Phone #: (405) 943-0303
Fax #: (6) 202-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KEVIN EDWIN BEAVER PA 2637
NICOLE GARBER APRN 606
TINA HARRISON APRN 71168
STEPHEN HARTZELL APRN 9492
SHELLY MANSKER APRN 69284
AMEIKA MILLER APRN 77842
CATHERINE RENEE PAZOURECK PA 1723
JACK BRADLEY SMITH PA 1155

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