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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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KOWOL, MARY-ANNE       
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: ERNEST CHILDERS VA OUTPATIENT CLINIC
8921 S MINGO RD
TULSA OK 74133

Address last updated on 11/3/2024
Phone #: (918) 577-3699
Fax #:
County: TULSA
License: 28168
Dated: 1/1/2011
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Psychiatry
Addiction Psychiatry
Addiction Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: MED FAK DER JULIUS MAXIMILIANS UNIV, WURZBURG, BAYERN
Graduated: 10 / 2000
CME Year: 2026
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 PREVENTIVE MEDICINE - Addiction Medicine
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Addiction Psychiatry
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Psychiatry specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ERNEST CHILDERS VA OUTPATIENT CLINIC
8921 S MINGO RD
TULSA OK 74133

Phone #: (918) 577-3699
Fax #:
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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