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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 1:43 PM CDT
Next Update: Tuesday, May 7, 2024 4:30 PM CDT

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RICKNER, KYLE WADE
Practice Address: 3808 NW 166TH SUITE 4
SUITE 4
EDMOND OK 73012

Address last updated on 6/15/2023
Phone #: (405) 607-8855
Fax #:
County: OKLAHOMA
License: 21266
Dated: 7/7/1999
Expires: 7/1/2024
Training Issued: 7/1/1998
Training Expires: 8/1/1999
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: CASE WESTERN RESERVE UNIV SCH OF MED, CLEVELAND OH 44106
Graduated: 5 / 1998
CME Year: 2026
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: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3808 NW 166TH SUITE 4
SUITE 4
EDMOND OK 73012

Phone #: (405) 607-8855
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHRISTI RENAE DEWITT PA 1506
AMY FOSTER APRN 73103

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