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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 4:32 AM CDT
Next Update: Wednesday, April 24, 2024 12:00 PM CDT

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KADAVY, NATHAN CARL
Practice Address: 4000 W RENO AVE
OKLAHOMA CITY OK 73107

Address last updated on 2/2/2024
Phone #: (405) 632-6688
Fax #: (405) 601-2684
County: OKLAHOMA
License: 2716
Dated: 1/26/2017
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
4000 W RENO AVE
OKLAHOMA CITY OK 73107

Phone #: (405) 632-6688
Fax #: (405) 601-2684

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
NICOLE OGLE HICKSON MD 30713

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