WAGNER, KYLE ANDREW - Licensee Information

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

WAGNER, KYLE ANDREW

Practice Address:	SCOTT SABOLICH PROSTHETICS 10201 N BROADWAY EXT OKLAHOMA CITY OK 73114 Address last updated on 11/3/2015
Phone #:	(405) 841-6800
Fax #:
County:	OKLAHOMA
License:	28
Dated:	1/1/2008
Expires:	12/31/2025
License Type:	Licensed Prosthetist
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:
SCOTT SABOLICH PROSTHETICS 10201 N BROADWAY EXT OKLAHOMA CITY OK 73114 Phone #: (405) 841-6800 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
ELIZABETH NICOLE BEBOW	LPO	131
HANNAH C CHRISTIE	LPR	57

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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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