BOGART, KIMBERLY RAGENA - Licensee Information

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BOGART, KIMBERLY RAGENA

Practice Address:	THE PRIMARY CARE GROUP OF OKLAHOMA 9001 SOUTH 101ST EAST AVE SUITE 350 TULSA OK 74133 Address last updated on 2/20/2007
Phone #:	(918) 392-5500
Fax #:
County:	TULSA
License:	1124
Dated:	4/1/2001
Expires:	3/31/2009
Temp. Ltr. Issued:	2/16/2001
Temp. Ltr. Expires:	3/31/2001
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

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:
THE PRIMARY CARE GROUP OF OKLAHOMA 9001 SOUTH 101ST EAST AVE SUITE 350 TULSA OK 74133 Phone #: (918) 392-5500 Fax #:

Hospital Privileges:

None listed

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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