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Oklahoma Board of Medical Licensure and Supervision

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SHELTON, KELLI MARIE       
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: CHOCTAW NATION INDIAN HEALTH CLINIC
902 EAST LINCOLN ROAD
IDABEL OK 74745

Address last updated on 10/20/2006
Phone #: (877) 791-2600 x1071
Fax #: (580) 286-1087
County: MCCURTAIN
License: 1452
Dated: 6/23/2006
Expires: 10/31/2007
Temp. Ltr. Issued: 5/4/2006
Temp. Ltr. Expires: 7/22/2006
License Type: Licensed Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
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:
CHOCTAW NATION INDIAN HEALTH CLINIC
902 EAST LINCOLN ROAD
IDABEL OK 74745

Phone #: (877) 791-2600 x1071
Fax #: (580) 286-1087

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