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POWELL, TERRY DOUGLAS       
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: PO BOX 993
COFFEYVILLE KS 67337-0993

Address last updated on 7/16/2014
Phone #: (620) 252-1684
Fax #: (620) 252-1692
County: NOT OKLAHOMA
License: 9106
Dated: 9/22/1969
Expires: 9/1/2015
License Type: Medical Doctor
Specialty: RADIOLOGY, THERAPEUTIC
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: / 1968
CME Year: 2015
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
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
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Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
PO BOX 993
COFFEYVILLE KS 67337-0993

Phone #: (620) 252-1684
Fax #: (620) 252-1692
Mon:
Tue:
Wed: 8:00AM - 4:30PM
Thu:
Fri:
Sat:
Sun:

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