YAMAGUCHI, IKUYO - Licensee Information

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

YAMAGUCHI, IKUYO

Practice Address:	THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER OKLAHOMA CHILDRENS HOSPITAL 1200 CHILDRENS AVE SUITE 14501 OKLAHOMA CITY OK 73104 Address last updated on 11/2/2023
Phone #:	(405) 271-4409
Fax #:	(405) 271-3967
County:	OKLAHOMA
License:	37607
Dated:	1/11/2021
Expires:	1/1/2025
Temp. Lic. Issued:	12/8/2020
Temp. Lic. Expires:	1/21/2021
License Type:	Medical Doctor
Specialty:	Pediatric Nephrology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Kumamoto Univ Med Sch, Kumamoto, Japan
Graduated:	3 / 1987
CME Year:	2027

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 PEDIATRICS - Pediatric Nephrology
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	None listed
Hospital Privileges:	OU Medical Center Oklahoma City, OK

Locations:	Hours:	Languages:
THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER OKLAHOMA CHILDRENS HOSPITAL 1200 CHILDRENS AVE SUITE 14501 OKLAHOMA CITY OK 73104 Phone #: (405) 271-4409 Fax #: (405) 271-3967	Mon: 8:00AM - 4:30PM Tue: 8:00AM - 4:30PM Wed: 8:00AM - 4:30PM Thu: 8:00AM - 4:30PM Fri: 8:00AM - 4:30PM Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
LAUREN TERRELL	APRN	10150