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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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RICHARDSON, JAY LYNN       
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: 9385 WEST 75TH STREET
SHAWNEE MISSION KS 66204

Address last updated on 8/21/2012
Phone #: (913) 383-8346
Fax #: (913) 383-0503
County: NOT OKLAHOMA
License: 8550
Dated: 10/3/1966
Expires: 10/1/2013
License Type: Medical Doctor
Specialty: Other Specialty
General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: / 1965
CME Year: 2015
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 SURGERY
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna PPO
CIGNA PPO
First Health
Physicians Direct Network
Tricare Standard
United Healthcare HMO
Hospital Privileges: None listed
Locations: Hours: Languages:
9385 WEST 75TH STREET
SHAWNEE MISSION KS 66204

Phone #: (913) 383-8346
Fax #: (913) 383-0503
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat: 9:00AM - 5:00PM
Sun: 9:00AM - 5:00PM

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