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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 22, 2024 6:57 PM CDT
Next Update: Tuesday, April 23, 2024 2:50 AM CDT

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KENNEDY, HEATHER CECILIA
Practice Address: REFINE MEDICAL
2216 NW 164TH
A
EDMOND OK 73013

Address last updated on 2/5/2024
Phone #: (405) 938-0874
Fax #:
County: OKLAHOMA
License: 2191
Dated: 1/14/2013
Expires: 3/31/2025
Temp. Ltr. Issued: 12/7/2012
Temp. Ltr. Expires: 4/1/2013
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:
REFINE MEDICAL
2216 NW 164TH
A
EDMOND OK 73013

Phone #: (405) 938-0874
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
NATASHA KNOWLTON DO 4422
SANG LEE DO 3864
William B. Parsons DO 2390
TIMOTHY ALAN VAVRICKA MD 24483

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