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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 13, 2024 4:13 PM CDT
Next Update: Tuesday, May 14, 2024 2:50 AM CDT

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WINN, BENJAMIN KEITH       
Practice Address: KANSAS MEDICAL CLINIC
1261 E TULSA AVE
KANSAS OK 74347

Address last updated on 3/29/2024
Phone #: (918) 868-2175
Fax #:
County: DELAWARE
License: 4746
Dated: 2/8/2022
Expires: 3/31/2025
Temp. Ltr. Issued: 12/8/2021
Temp. Ltr. Expires: 3/10/2022
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:
KANSAS MEDICAL CLINIC
1261 E TULSA AVE
KANSAS OK 74347

Phone #: (918) 868-2175
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DANIEL ALBERT PUMMILL MD 12734

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