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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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WENDELBERGER, KELLY RAE       
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: SSM HEALTH BONE & JOINT
3200 MEDICAL PARK DR
SHAWNEE OK 74804

Address last updated on 9/3/2024
Phone #: (405) 878-3460
Fax #:
County: POTTAWATOMIE
License: 1393
Dated:
Expires: 3/30/2025
Temp. Ltr. Issued: 9/5/2024
Temp. Ltr. Expires: 3/30/2025
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Temporary
Restricted to:
CME Year: 0
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:
SSM HEALTH BONE & JOINT
3200 MEDICAL PARK DR
SHAWNEE OK 74804

Phone #: (405) 878-3460
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
WILLIAM JOHN HALE II MD 19051

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