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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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RUSSELL, KIMBERLY ANNE
Practice Address: VAMC
921 NE 13TH
OKLAHOMA CITY OK 73104

Address last updated on 3/10/2024
Phone #: (405) 456-4367
Fax #:
County: OKLAHOMA
License: 744
Dated: 4/1/1996
Expires: 3/31/2025
Temp. Ltr. Issued: 8/3/1995
Temp. Ltr. Expires: 8/3/1996
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:
VAMC
921 NE 13TH
OKLAHOMA CITY OK 73104

Phone #: (405) 456-4367
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
FATIMA DE NATIVIDADE ABRANTES-PAIS MD 20092
MEHEROZ HOSHANG RABADI MD 28259

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