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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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BOUVETTE, KIMBERLY ADAMS
Practice Address: 4120 WEST MEMORIAL #118
OKLAHOMA CITY OK 73120

Address last updated on 8/22/2012
Phone #: (405) 748-4700
Fax #: (405) 748-5638
County: OKLAHOMA
License: 20425
Dated: 10/22/1997
Expires: 10/1/2024
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF LOUISVILLE SCH OF MED, LOUISVILLE KY 40202
Graduated: 5 / 1991
CME Year: 2024
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 PHYSICAL MEDICINE/REHABILITATION
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CompMed
Coventry Health Care National Network
First Health
Global Health HMO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare HMO
United Healthcare POS
Worknet of Oklahoma
Hospital Privileges: Hospital Not Listed
,
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
4120 WEST MEMORIAL #118
OKLAHOMA CITY OK 73120

Phone #: (405) 748-4700
Fax #: (405) 748-5638
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KATHERINE ELIZABETH ALLEN PA 2202

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