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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 17, 2024 6:57 PM CDT
Next Update: Thursday, April 18, 2024 2:50 AM CDT

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GREEN, INA KIM
Practice Address: 14400 BOGERT PARKWAY
SUITE 100
OKLAHOMA CITY OK 73134-2653

Address last updated on 3/10/2024
Phone #: (405) 302-1500
Fax #:
County: OKLAHOMA
License: 1010
Dated: 3/8/2000
Expires: 3/31/2025
Temp. Ltr. Issued: 12/30/1999
Temp. Ltr. Expires: 3/11/2000
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
14400 BOGERT PARKWAY
SUITE 100
OKLAHOMA CITY OK 73134-2653

Phone #: (405) 302-1500
Fax #:

Hospital Privileges:

V.A. Medical Center-OKC
Oklahoma City, OK

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