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Next Update: Friday, May 3, 2024 12:00 PM CDT

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CAUDILL, BRENT KIMBRELL
Practice Address: PREVENTIVE HEALTHCARE LLC
201 NORTH JEFFERSON STREET #D
ST. JAMES MO 65559

Address last updated on 4/25/2013
Phone #: (573) 265-0911
Fax #:
County: NOT OKLAHOMA
License: 28976
Dated: 5/1/2012
Expires: 5/1/2014
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 5 / 1979
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PREVENTIVE HEALTHCARE LLC
201 NORTH JEFFERSON STREET #D
ST. JAMES MO 65559

Phone #: (573) 265-0911
Fax #:

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