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Next Update: Sunday, May 19, 2024 12:00 PM CDT

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BLICKENSTAFF, KYLE ROBERT       
Practice Address: PRESBYTERIAN PROF OFFICE BLDG
711 STANTON L YOUNG BLVD #310
OKLAHOMA CITY OK 73104
Phone #:
Fax #:
County: OKLAHOMA
License: 18012
Dated: 5/22/1992
Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1987
CME Year:
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.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PRESBYTERIAN PROF OFFICE BLDG
711 STANTON L YOUNG BLVD #310
OKLAHOMA CITY OK 73104

Phone #:
Fax #:

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