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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, KAELA BREANN JORDAN       
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: SELECT SPECIALTY HOSPITAL
3524 NW 56TH ST
OKLAHOMA CITY OK 73112

Address last updated on 9/1/2023
Phone #: (405) 606-6700
Fax #:
County: OKLAHOMA
License: 2909
Dated: 11/1/2023
Expires: 10/31/2024
Temp. Ltr. Issued: 9/22/2023
Temp. Ltr. Expires: 11/16/2023
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:
SELECT SPECIALTY HOSPITAL
3524 NW 56TH ST
OKLAHOMA CITY OK 73112

Phone #: (405) 606-6700
Fax #:

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