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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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BOUVETTE, KIMBERLY ADAMS
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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: |
4120 WEST MEMORIAL #118
OKLAHOMA CITY OK 73120
Address last updated on 9/23/2024 |
| Phone #: |
(405) 748-4700 |
| Fax #: |
(405) 748-5638 |
| County: |
OKLAHOMA |
| License: |
20425 |
| Dated: |
10/22/1997 |
| Expires: |
10/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Physical Medicine & Rehabilitation |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
UNIV OF LOUISVILLE SCH OF MED, LOUISVILLE KY 40202 |
| Graduated: |
5 /
1991 |
| CME Year: |
2027 |
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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 PHYSICAL MEDICINE/REHABILITATION |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CompMed
Coventry Health Care National Network
First Health
Global Health HMO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare HMO
United Healthcare POS
Worknet of Oklahoma |
| Hospital Privileges: |
Hospital Not Listed
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Mercy Hospital OKC
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
4120 WEST MEMORIAL #118
OKLAHOMA CITY OK 73120
Phone #:
(405) 748-4700
Fax #:
(405) 748-5638 |
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 4:30PM
Sat:
Sun: |
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