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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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KADECHUK, LAURA LOUISE       
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: FIVE OAKS FAMILY MEDICAL CLINIC-PEDIATRICS
2100 W IOWA AVE ATTN: APRIL THOMPSON
CHICKASHA OK 73018
Address last updated on 3/20/2024
Phone #: (405) 224-2100
Fax #: (405) 779-2365
County: GRADY
License: 1947
Dated: 4/1/2011
Expires: 3/31/2025
Temp. Ltr. Issued: 1/10/2011
Temp. Ltr. Expires: 4/8/2011
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
FIVE OAKS FAMILY MEDICAL CLINIC-PEDIATRICS
2100 W IOWA AVE ATTN: APRIL THOMPSON
CHICKASHA OK 73018
Phone #: (405) 224-2100
Fax #: (405) 779-2365

Hospital Privileges:

Grady Memorial Hospital
Chickasha, OK
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KEVIN WAYNE ANDERSON DO 4878
BRIDGET D BRYAN DO 5036
MITCHELL DEAN COPPEDGE MD 19462
ABBY M HOUSMAN DO 5089
RYAN ROBERT KNAPP MD 27324

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