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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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REINECKE, AMBER KATHRYN       
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: CUSHING FAMILY PRACTICE
2340 EAST MAIN ST
CUSHING OK 74023

Address last updated on 2/2/2024
Phone #: (918) 725-1901
Fax #: (918) 725-1920
County: PAYNE
License: 2478
Dated: 1/15/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 12/29/2014
Temp. Ltr. Expires: 1/16/2015
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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.
Locations: Hours: Languages:
CUSHING FAMILY PRACTICE
2340 EAST MAIN ST
CUSHING OK 74023

Phone #: (918) 725-1901
Fax #: (918) 725-1920

Hospital Privileges:

Stillwater Medical Perry (fmly Perry Mem. Hosp)
Perry, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RANDY GRELLNER DO 3663
Robert Brian Hightower DO 3199
COLM MCCAULEY DO 4100
AMANDA JO MILES MD 29120
BRANDON MARAY WILSON DO 4976

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