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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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KIM, EDWARD HYONGCHOL       
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: XSTREME MD
1028 FORUM DR
BROUSSARD LA 70518

Address last updated on 2/23/2024
Phone #: (337) 704-0891
Fax #:
County: NOT OKLAHOMA
License: 39031
Dated: 3/23/2022
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduated: 5 / 2001
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
XSTREME MD
1028 FORUM DR
BROUSSARD LA 70518

Phone #: (337) 704-0891
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Cedar Park Regional Medical Center
1401 Medical Parkway
Cedar Park, TX 78613

Phone #: (512) 528-7111
Fax #: (6) 201-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: ER open 24 hrs

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