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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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KICKLIGHTER, KELLY GALE       
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: VENTILATEOK
4401 NW 4TH ST SUITE 133
4401
OKLAHOMA CITY OK 73107

Address last updated on 10/4/2023
Phone #: (405) 604-6999
Fax #:
County: OKLAHOMA
License: 383
Dated: 3/8/2000
Expires: 9/30/2001
Temp. Ltr. Issued: 2/3/2000
Temp. Ltr. Expires: 3/11/2000
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
VENTILATEOK
4401 NW 4TH ST SUITE 133
4401
OKLAHOMA CITY OK 73107

Phone #: (405) 604-6999
Fax #:

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