WAGNER, KYLE ANDREW - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

WAGNER, KYLE ANDREW

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	SCOTT SABOLICH PROSTHETICS 10201 N BROADWAY EXT OKLAHOMA CITY OK 73114 Address last updated on 11/3/2015
Phone #:	(405) 841-6800
Fax #:
County:	OKLAHOMA
License:	28
Dated:	1/1/2008
Expires:	12/31/2025
License Type:	Licensed Prosthetist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
SCOTT SABOLICH PROSTHETICS 10201 N BROADWAY EXT OKLAHOMA CITY OK 73114 Phone #: (405) 841-6800 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
ELIZABETH NICOLE BEBOW	LPO	131
HANNAH C CHRISTIE	LPR	57

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