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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT
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MANGHAM, KIM PHAM |
| Practice Address: |
5912 YALE DRIVE
OKLAHOMA CITY OK 73162
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| Phone #: |
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| Fax #: |
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| County: |
OKLAHOMA |
| License: |
21738 |
| Dated: |
8/29/2000 |
| Expires: |
8/1/2002 |
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Training
Issued:
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7/1/1999 |
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Training
Expires:
|
8/30/2000 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235 |
| Graduated: |
6 /
1999 |
| CME Year: |
2003 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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