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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 8:43 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

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SMALLEY, KENT RAGAN
Practice Address: NEURO WELLNESS
3432 NW 178TH STREET
SUITE A
EDMOND OK 73012

Address last updated on 3/3/2024
Phone #: (405) 696-3773
Fax #: (405) 757-6953
County: OKLAHOMA
License: 18860
Dated: 4/27/1994
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Neurology
Clinical Neurophysiology
Pain Medicine
Neuromuscular Medicine
Addiction Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1991
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/4/2017 Probation Ended
5/18/2015 Probation
1/13/2011 Surrendered Emeritus License
9/28/2010 Complaint Citation
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
HealthChoice
Railroad Medicare
SoonerCare HMO
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Hospital Privileges: None listed
Locations: Hours: Languages:
NEURO WELLNESS
3432 NW 178TH STREET
SUITE A
EDMOND OK 73012

Phone #: (405) 696-3773
Fax #: (405) 757-6953
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ELIZABETH MUBURI APRN 102468
BRANDI STIFF APRN 88546

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