VELASCO DI DOMENICO, JOSE CARLOS - Licensee Information

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Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

VELASCO DI DOMENICO, JOSE CARLOS

Practice Address:	CENTRAL CARE CANCER CENTER 305 W 15TH ST STE 203 LIBERAL KS 67901-2455 Address last updated on 2/16/2022
Phone #:	(620) 624-4700
Fax #:	(888) 235-3625
County:	NOT OKLAHOMA
License:	35445
Dated:	4/15/2020
Expires:	4/1/2023
License Type:	Medical Doctor
Specialty:	Medical Oncology HEMATOLOGY/ONCOLOGY Palliative Medicine

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Peruana Cayetano Heredia, Prog Acad De Med, Lima, Peru
Graduated:	4 / 2005
CME Year:	2023

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 INTERNAL MEDICINE - Hematology AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology AMERICAN BOARD OF PHYSICAL MEDICINE/REHABILITATION - Hospice and Palliative Medicine
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	Hospital(s) Not In Oklahoma ,

Locations:	Hours:	Languages:
CENTRAL CARE CANCER CENTER 305 W 15TH ST STE 203 LIBERAL KS 67901-2455 Phone #: (620) 624-4700 Fax #: (888) 235-3625	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
410 E Spruce St Garden City, KS 67846 Phone #: (620) 272-2579 Fax #: (2) 202-	Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: 8:00AM - 4:30PM Sat: Sun:	Spanish
730 Medical Center Drive Newton, KS 67114-877 Phone #: (316) 283-1141 Fax #: (2) 202-	Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: 8:00AM - 4:30PM Sat: Sun:	Spanish