RYAN, KIM ANN - Licensee Information - Oklahoma Medical Board

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
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RYAN, KIM ANN

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:	ST ANTHONY MCLOUD FAMILY PRACTICE 704 SOUTH 8TH STREET MCLOUD OK 74851 Address last updated on 3/3/2024
Phone #:	(405) 964-6463
Fax #:
County:	POTTAWATOMIE
License:	898
Dated:	6/19/1998
Expires:	3/31/2025
Temp. Ltr. Issued:	6/4/1998
Temp. Ltr. Expires:	9/26/1998
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:
ST ANTHONY MCLOUD FAMILY PRACTICE 704 SOUTH 8TH STREET MCLOUD OK 74851 Phone #: (405) 964-6463 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
KIMBERLY KAYE HANIGAR	MD	18949
JEREMY P HOLTER	MD	22964
KELLI DENISE KOONS	MD	22002

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