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Next Update: Thursday, December 19, 2024 12:00 PM CST
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MIKAWA, KEVIN DEAN
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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: |
100 HOSPITAL AVENUE
DUBOIS PA 15801
Address last updated on 2/25/2021 |
| Phone #: |
(814) 371-2200 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
22101 |
| Dated: |
9/3/2002 |
| Expires: |
9/1/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Neurology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
UNIV OF FL COLL OF MED, GAINESVILLE FL 32610 |
| Graduated: |
5 /
1998 |
| CME Year: |
2023 |
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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 PSYCHIATRY AND NEUROLOGY
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific) |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mercy Hospital OKC
Oklahoma City, OK
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