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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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LEWIS, KORI MARIE
Practice Address: 1919 E. MEMORIAL RD
OKLAHOMA CITY OK 73131

Address last updated on 8/14/2023
Phone #: (405) 341-7009
Fax #: (405) 330-1811
County: OKLAHOMA
License: 23474
Dated: 10/6/2004
Expires: 10/1/2024
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 / 2003
CME Year: 2025
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: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Deaconess Campus (fmly Deaconess Hospital)
Oklahoma City, OK
Locations: Hours: Languages:
1919 E. MEMORIAL RD
OKLAHOMA CITY OK 73131

Phone #: (405) 341-7009
Fax #: (405) 330-1811
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KATHRYN HAAG APRN 71536
KIM KNOX APRN 47398
JOHN KENNETH PARMELEE JR PA 692
JESSICA PROVOST APRN 93861

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