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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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KOWALSKI, PETER CRAIG       
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: 2617 GENERAL PERSHING BLVD
OKLAHOMA CITY OK 73107-6437

Address last updated on 5/2/2024
Phone #: (405) 858-2700
Fax #: (405) 858-1776
County: OKLAHOMA
License: 15989
Dated: 11/7/1986
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Child and Adolescent Psychiatry
Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1983
CME Year: 2027
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 PSYCHIATRY AND NEUROLOGY (Psychiatry specific)
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Psychiatry specific) - Child & Adolescent Psychiatry
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY OK 73107-6437

Phone #: (405) 858-2700
Fax #: (405) 858-1776
Mon: 8:00AM - 5:00PM
Tue:
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MARYALICE CASE APRN 11715
SUE ROLLINS APRN 58314
KATHRYN SHELTON APRN 107530
KELSEY WILSON APRN 744

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