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Last Update: Thursday, April 25, 2024 2:20 PM CDT
Next Update: Thursday, April 25, 2024 4:30 PM CDT

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LIPKE, KYLE NATHAN
Practice Address: MERCY PRIMARY CARE EDMOND WATERLOO
301 EAST WATERLOO
EDMOND OK 73034

Address last updated on 3/1/2024
Phone #: (405) 715-2000
Fax #: (405) 715-2010
County: LOGAN
License: 1667
Dated: 10/18/2007
Expires: 3/31/2025
Temp. Ltr. Issued: 9/20/2007
Temp. Ltr. Expires: 11/3/2007
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
MERCY PRIMARY CARE EDMOND WATERLOO
301 EAST WATERLOO
EDMOND OK 73034

Phone #: (405) 715-2000
Fax #: (405) 715-2010

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHAEL STEPHEN ELLIOTT MD 19806
Jacob Lynn Fisher DO 6163

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