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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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JACKSON, KAELY NICOLE       
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: KAELY JACKSON
1200 N CHILDRENS AVE
ST 1A
OKLAHOMA CITY OK 73104

Address last updated on 10/31/2024
Phone #: (405) 271-5400
Fax #:
County: OKMULGEE
License: 1961
Dated: 11/1/2013
Expires: 10/31/2025
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
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:
KAELY JACKSON
1200 N CHILDRENS AVE
ST 1A
OKLAHOMA CITY OK 73104

Phone #: (405) 271-5400
Fax #:

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