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KRIWANEK, STEPHEN CARL       
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: SHAWNEE PEDORTHIC SERVICES, LLC
1510 KICKAPOO, SUITE 11
SHAWNEE OK 74804-4330

Address last updated on 1/22/2010
Phone #: (405) 275-1996
Fax #:
County: POTTAWATOMIE
License: 17
Dated: 1/16/2002
Expires: 1/31/2015
License Type: Licensed Pedorthist
Specialty:
Status: Inactive
Status Class: Expired License
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:
SHAWNEE PEDORTHIC SERVICES, LLC
1510 KICKAPOO, SUITE 11
SHAWNEE OK 74804-4330

Phone #: (405) 275-1996
Fax #:

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