STOUT, KEVAN WAYNE - Licensee Information

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Next Update: Saturday, May 11, 2024 12:00 PM CDT

STOUT, KEVAN WAYNE

Practice Address:	DRAELOS METABOLIC CENTER 200 N BRYANT AVE #160 EDMOND OK 73034 Address last updated on 2/19/2017
Phone #:	(405) 330-2362
Fax #:
County:	OKLAHOMA
License:	2569
Dated:	10/23/2015
Expires:	3/31/2018
Temp. Ltr. Issued:	10/1/2015
Temp. Ltr. Expires:	11/6/2015
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2018

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:
DRAELOS METABOLIC CENTER 200 N BRYANT AVE #160 EDMOND OK 73034 Phone #: (405) 330-2362 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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