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KURTZ, ENID AMERICA       
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: 202 NORTH BLVD.
HUNTINGTON WV 25701
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16856
Dated: 6/1/1989
Expires: 12/31/1989
License Type: Medical Doctor
Specialty: Psychiatry
Child and Adolescent Psychiatry
Status: Inactive
Status Class: Special License
Restricted to: CONTRACTUAL AGREEMENT WITH DOD
Registered to Dispense: NO
Medical School: UNIV OF PR SCH OF MED, SAN JUAN PR 00936
Graduated: 5 / 1974
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
202 NORTH BLVD.
HUNTINGTON WV 25701

Phone #:
Fax #:

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