HOURIGAN, KADILYN VIVIAN - Licensee Information

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

HOURIGAN, KADILYN VIVIAN

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:	GREEN COUNTRY BEHAVIORAL HEALTH SERVICES INC. 619 N. MAIN ST. MUSKOGEE OK 74401 Address last updated on 3/7/2024
Phone #:	(918) 682-8407
Fax #:	(918) 687-0976
County:	MUSKOGEE
License:	2368
Dated:	1/16/2014
Expires:	3/31/2025
Temp. Ltr. Issued:	1/10/2014
Temp. Ltr. Expires:	4/1/2014
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:
GREEN COUNTRY BEHAVIORAL HEALTH SERVICES INC. 619 N. MAIN ST. MUSKOGEE OK 74401 Phone #: (918) 682-8407 Fax #: (918) 687-0976

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
TRACY SHAWN LOPER	MD	22482
LETICEA M NEWTON	MD	21371

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