KELLY, KEVIN VINCENT - Licensee Information

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Last Update: Monday, May 6, 2024 4:08 PM CDT
Next Update: Tuesday, May 7, 2024 2:50 AM CDT

KELLY, KEVIN VINCENT

Practice Address:	SURGICAL SPECIALISTS OF OKLAHOMA 3705 NE 63RD SUITE 212 OKLAHOMA CITY OK 73116 Address last updated on 7/20/2011
Phone #:	(405) 608-4300
Fax #:	(405) 608-4302
County:	OKLAHOMA
License:	24019
Dated:	8/2/2004
Expires:	8/1/2012
Temp. Lic. Issued:	7/14/2004
Temp. Lic. Expires:	9/24/2004
License Type:	Medical Doctor
Specialty:	Neurological Surgery

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Il Coll Of Med, Chicago Il 60680
Graduated:	5 / 1998
CME Year:	2013

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:
New Patients:	Yes
Medicaid:	No
Medicare:	Yes

HMO/PPO:	None listed
Hospital Privileges:	INTEGRIS Baptist Medical Center Oklahoma City, OK INTEGRIS Southwest Medical Center Oklahoma City, OK St. Anthony Hospital (SSM Health) Oklahoma City, OK

Locations:	Hours:	Languages:
SURGICAL SPECIALISTS OF OKLAHOMA 3705 NE 63RD SUITE 212 OKLAHOMA CITY OK 73116 Phone #: (405) 608-4300 Fax #: (405) 608-4302	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: CLOSED Sun: CLOSED
4221 S. Western ste. 5020 Oklahoma City, OK 73109 Phone #: (405) 636-7412 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun: