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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

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FONKEM, VEDMIA LUTHER
Practice Address: SSM HEALTH MIDWEST CITY
2825 PARKLAWN DR.
MIDWEST CITY OK 73110

Address last updated on 6/28/2023
Phone #: (405) 610-4411
Fax #:
County: OKLAHOMA
License: 33965
Dated: 7/1/2020
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Windsor Univ, Basseterre, St Kitts & Nevis
Graduated: 12 / 2017
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: ABPS - Family Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SSM HEALTH MIDWEST CITY
2825 PARKLAWN DR.
MIDWEST CITY OK 73110

Phone #: (405) 610-4411
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JEFFERSON MBENGA APRN 17427

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