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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST

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WILEY, KEVIN FRANK       
Practice Address: 9600 BROADWAY EXT
OKLAHOMA CITY OK 73114-7408

Address last updated on 6/3/2024
Phone #: (405) 230-9520
Fax #: (405) 230-9521
County: OKLAHOMA
License: 30008
Dated: 7/1/2014
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
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 / 2012
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 ORTHOPAEDIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
9600 BROADWAY EXT
OKLAHOMA CITY OK 73114-7408

Phone #: (405) 230-9520
Fax #: (405) 230-9521
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RYAN BALLARD PA 2095
BEAU JAMES BURTON PA 2526
NATHAN JAMES CHARLTON PA 2499
DONALD RAY FLINN PA 317
RALPH EUGENE FOUNTAIN PA 498
DAVID SHANNON HADDOCK PA 2055
LUKE DANIEL HANEY PA 1697
JOANNA LEE HART PA 1236
AMBER DAWN HAYNES PA 1945
STEPHEN MICHAEL ISERNHAGEN PA 2613
KEVIN CHARLES MASON PA 1062
JOHN GILBERT MILLER PA 1187
CHRISTOPHER SCOT PACE PA 1843
ALLYSON ANN PINKLEY PA 2184
BRETT DILLON PURVIS PA 1773
MICHAEL LYNN SANDERSON PA 1808
AUSTIN JAMES SHOMAN PA 4626
ANDREW BLAKE SMITH PA 2584
JEFFREY SCOTT WALTER PA 1029

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