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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 25, 2024 4:12 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

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WASHINGTON, KENNETH DON
Practice Address: FAITH FAMILY CLINIC
740 SIGNAL RIDGE DR
EDMOND OK 73013

Address last updated on 3/28/2024
Phone #: (405) 418-0125
Fax #:
County: OKLAHOMA
License: 626
Dated: 2/27/1993
Expires: 3/31/2025
Temp. Ltr. Issued: 8/29/2003
Temp. Ltr. Expires: 11/23/2003
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:
FAITH FAMILY CLINIC
740 SIGNAL RIDGE DR
EDMOND OK 73013

Phone #: (405) 418-0125
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
INGRID WORRELL JACKSON MD 15786

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