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Oklahoma Board of Medical Licensure and Supervision

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CAMMACK, KEVIN JAMES       
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: 8121 NATIONAL AVE
SUITE 210
MIDWEST CITY OK 73110
Phone #:
Fax #:
County: OKLAHOMA
License: 15755
Dated: 7/1/1986
Expires: 6/30/1994
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Other Specialty
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ of IA Roy J & L Carver COM, Iowa City, IA 52242
Graduated: 5 / 1985
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.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
8121 NATIONAL AVE
SUITE 210
MIDWEST CITY OK 73110

Phone #:
Fax #:

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