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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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KIRBY, AMY BRIANA       
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: 7309 WAVERLY AVENUE
NICHOLS HILLS OK 73120

Address last updated on 8/5/2024
Phone #: (405) 314-9785
Fax #:
County: OKLAHOMA
License: 22431
Dated: 10/28/2002
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Radiology
Musculoskeletal Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 2001
CME Year: 2026
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Health Ponca City Hospital -(frmly Via Christi)
Ponca City, OK
Stillwater Medical Center
Stillwater, OK
Locations: Hours: Languages:
7309 WAVERLY AVENUE
NICHOLS HILLS OK 73120

Phone #: (405) 314-9785
Fax #:
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1710 NW 16th St
Oklahoma City, OK 73106

Phone #: (405) 921-0585
Fax #: (2) 202-
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130 NE 150TH ST
Edmond, OK 73013

Phone #: (405) 974-0531
Fax #: (5) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BROOK LINDER APRN 12812

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