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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

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WILKIN, KACIE LEANN
Practice Address: CHICKASAW NATION DEPARTMENT OF HEALTH
1921 STONECIPHER BLVD
ADA OK 74820-0000

Address last updated on 2/15/2024
Phone #: (580) 436-3980
Fax #:
County: PONTOTOC
License: 2501
Dated: 4/30/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 2/6/2015
Temp. Ltr. Expires: 5/15/2015
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:
CHICKASAW NATION DEPARTMENT OF HEALTH
1921 STONECIPHER BLVD
ADA OK 74820-0000

Phone #: (580) 436-3980
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PHILLIP TYLER FULLER MD 30483

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