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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 14, 2024 7:02 PM CDT
Next Update: Wednesday, May 15, 2024 2:50 AM CDT

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IVENS, KEITH WESLEY       
Practice Address: CORECIVIC
6916 SHELLY TRAIL
NASHVILLE TN 37211

Address last updated on 1/12/2024
Phone #: (520) 709-3860
Fax #:
County: NOT OKLAHOMA
License: 28157
Dated: 1/10/2011
Expires: 1/1/2025
License Type: Medical Doctor
Specialty: General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Stanford Univ Sch Of Med, Stanford CA 94305
Graduated: 6 / 1992
CME Year: 2026
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CORECIVIC
6916 SHELLY TRAIL
NASHVILLE TN 37211

Phone #: (520) 709-3860
Fax #:
Mon: 7:00AM - 5:00PM
Tue: 7:00AM - 5:00PM
Wed: 7:00AM - 5:00PM
Thu: 7:00AM - 5:00PM
Fri: 7:00AM - 5:00PM
Sat:
Sun:

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