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Next Update: Thursday, December 19, 2024 12:00 PM CST
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KISTLER, DAMION LOREN
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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.
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| Practice Address: |
4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120-8362
Address last updated on 5/7/2014 |
| Phone #: |
(405) 752-3853 |
| Fax #: |
(405) 752-3052 |
| County: |
OKLAHOMA |
| License: |
13891 |
| Dated: |
7/22/1982 |
| Expires: |
7/1/2015 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic/Clinical Pathology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
VA COMMONWEALTH UNIV, SCH OF MED, RICHMOND VA 23298 |
| Graduated: |
5 /
1977 |
| CME Year: |
2015 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PATHOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mercy Hospital OKC
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
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