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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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KYLE, WALTER LAMAR       
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: SPARKS HMA
5428 ELLSWORTH
FORT SMITH AR 72903

Address last updated on 9/12/2017
Phone #: (479) 709-7440
Fax #: (479) 709-7441
County: NOT OKLAHOMA
License: 12005
Dated: 9/15/1978
Expires: 9/1/2017
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 6 / 1976
CME Year: 2018
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.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
HealthChoice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
SPARKS HMA
5428 ELLSWORTH
FORT SMITH AR 72903

Phone #: (479) 709-7440
Fax #: (479) 709-7441
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat: 8:00AM - 4:00PM
Sun: 8:00AM - 4:00PM

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