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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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KABRICK, EDWARD PAUL       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 12201 PORTLAND AVE
OKLAHOMA CITY OK 73120

Address last updated on 8/30/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 65
Dated: 1/24/1991
Expires: 8/31/2025
Temp. Ltr. Issued: 6/30/2011
Temp. Ltr. Expires: 9/16/2011
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year:
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:
12201 PORTLAND AVE
OKLAHOMA CITY OK 73120

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SEETHAL RAO MADHAVARAPU MD 23053

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