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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 7:03 PM CDT
Next Update: Tuesday, April 30, 2024 2:50 AM CDT

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KITCHENS, MADISON RYLEE
Practice Address: WILMA P MANKILLER HEALTH CENTER
471688 HWY 61
STILWELL OK 74960

Address last updated on 2/4/2024
Phone #: (918) 696-8800
Fax #: (918) 696-8850
County: ADAIR
License: 4399
Dated: 10/30/2020
Expires: 3/31/2025
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:
WILMA P MANKILLER HEALTH CENTER
471688 HWY 61
STILWELL OK 74960

Phone #: (918) 696-8800
Fax #: (918) 696-8850

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JAMES WILLIAM STALLCUP MD 27612

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