RIDLEY, KENNETH WAYNE - Licensee Information

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RIDLEY, KENNETH WAYNE

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:	SOUTHWEST MEDICAL CENTER 1001 SW 44TH STREET OKLAHOMA CITY OK 73101 Address last updated on 4/1/2013
Phone #:	(405) 636-7000
Fax #:
County:	OKLAHOMA
License:	1635
Dated:	3/4/1999
Expires:	3/31/2015
Temp. Ltr. Issued:	2/19/1999
Temp. Ltr. Expires:	3/6/1999
License Type:	Respiratory Care Practitioner
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:
SOUTHWEST MEDICAL CENTER 1001 SW 44TH STREET OKLAHOMA CITY OK 73101 Phone #: (405) 636-7000 Fax #:

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