LYLE, KELSEY RENEE - Licensee Information

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

LYLE, KELSEY RENEE

Practice Address:	CASADY SCHOOL 9500 N PENNSYLVANIA AVE OKLAHOMA CITY OK 73120 Address last updated on 4/9/2024
Phone #:	(405) 230-9405
Fax #:
County:	OKLAHOMA
License:	1039
Dated:	6/18/2018
Expires:	8/31/2024
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
CASADY SCHOOL 9500 N PENNSYLVANIA AVE OKLAHOMA CITY OK 73120 Phone #: (405) 230-9405 Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
RONALD MATTHEW DUMIGAN	MD	25963
SEETHAL RAO MADHAVARAPU	MD	23053

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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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