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Last Update: Thursday, May 9, 2024 4:03 AM CDT
Next Update: Thursday, May 9, 2024 12:00 PM CDT
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HENNEBERRY, KYLE JOSEPH View on
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| Practice Address: |
1839 N. GOVERNMENT WAY
SUITE B
COEUR D ALENE ID 83814
Address last updated on 4/4/2014 |
| Phone #: |
(855) 687-7237 |
| Fax #: |
(855) 673-9190 |
| County: |
NOT OKLAHOMA |
| License: |
25401 |
| Dated: |
1/1/2007 |
| Expires: |
1/1/2014 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
CASE WESTERN RESERVE UNIV SCH OF MED, CLEVELAND OH 44106 |
| Graduated: |
5 /
2002 |
| CME Year: |
2016 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF RADIOLOGY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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