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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST
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SIERRA, KYLE RAUL
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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 W MEMORIAL RD
OKLAHOMA CITY OK 73120
Address last updated on 11/6/2024 |
| Phone #: |
(405) 752-3324 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
38449 |
| Dated: |
7/1/2021 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Vascular and Interventional Radiology
Diagnostic Radiology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Central Del Caribe Sch Of Med, Bayamon Pr 00621 |
| Graduated: |
6 /
2014 |
| CME Year: |
2027 |
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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 RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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NICOLE MARIE MASSIE
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PA |
2727 |
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