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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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COUVILLON, CRAIG MICHAEL       
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: 21 N MAIN ST
KINGSTON OK 73439

Address last updated on 6/24/2024
Phone #: (580) 564-7885
Fax #: (580) 564-7902
County: MARSHALL
License: 26345
Dated: 7/1/2010
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 2008
CME Year: 2025
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 INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
21 N MAIN ST
KINGSTON OK 73439

Phone #: (580) 564-7885
Fax #: (580) 564-7902
Mon: 7:30AM - 6:00PM
Tue: 7:30AM - 6:00PM
Wed: 7:30AM - 6:00PM
Thu: 7:30AM - 6:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CAROL BLACK APRN 67047
GLENDA CROSS APRN 67070
TASHA CUMMINS APRN 109316
AMREIGH DANIEL APRN 16384
JOSEPH HUTCHINGS APRN 75982
TABITHA NAVE APRN 88973

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