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Next Update: Thursday, December 19, 2024 2:50 AM CST
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CARLSON, KATHLEEN LOREE
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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.
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| Practice Address: |
6830 SOUTH 77TH EAST AVE.
TULSA OK 74133
Address last updated on 12/1/2014 |
| Phone #: |
(918) 250-8989 |
| Fax #: |
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| County: |
TULSA |
| License: |
11624 |
| Dated: |
1/25/1978 |
| Expires: |
1/1/2018 |
| License Type: |
Medical Doctor |
| Specialty: |
Gynecology
Obstetrics & Gynecology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
WRITTEN AGREEMENT |
| Registered to Dispense: |
YES |
| Medical School: |
UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108 |
| Graduated: |
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1975 |
| CME Year: |
2018 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
BlueChoice PPO
BlueLincs HMO |
| Hospital Privileges: |
None listed |
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