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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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BOHN, KEVIN ANDREW       
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: 5708 NW 132ND ST. SUITE F
OKLAHOMA CITY OK 73142

Address last updated on 6/3/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 32208
Dated: 7/1/2017
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Colorado Sch Of Med (frmly in Denver)
Graduated: 5 / 2015
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5708 NW 132ND ST. SUITE F
OKLAHOMA CITY OK 73142

Phone #:
Fax #:
Mon:
Tue:
Wed:
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Sat:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STEVEN RUSSELL O'DELL PA 1321

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