RILEY, KODIE BROOKE - Licensee Information

Search Results

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

RILEY, KODIE BROOKE

Practice Address:	GALLAGHER ORTHOPEDICS & SPORTS MEDICINE 3216 N. MAIN STREET ALTUS OK 73521 Address last updated on 12/14/2023
Phone #:	(580) 471-7408
Fax #:
County:	JACKSON
License:	626
Dated:	9/16/2010
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:
GALLAGHER ORTHOPEDICS & SPORTS MEDICINE 3216 N. MAIN STREET ALTUS OK 73521 Phone #: (580) 471-7408 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
ASHRAF RAMSIS MIHANNI	MD	16578

Return to Search Licensees page

GDPR Notice

European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

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
Contact Info