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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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JESIOLOWSKI, KEITH ALAN
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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.
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| Practice Address: |
10711 E 11TH STREET
SUITE 1
TULSA OK 74128
Address last updated on 9/19/2022 |
| Phone #: |
(918) 583-7233 |
| Fax #: |
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| County: |
TULSA |
| License: |
14552 |
| Dated: |
10/29/1983 |
| Expires: |
10/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
CREIGHTON UNIV SCH OF MED, OMAHA NE 68178 |
| Graduated: |
5 /
1978 |
| CME Year: |
2024 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
ABPS - Family Medicine |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
10711 E 11TH STREET
SUITE 1
TULSA OK 74128
Phone #:
(918) 583-7233
Fax #:
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Mon: 8:00AM - 3:30PM
Tue: 8:00AM - 3:30PM
Wed: 8:00AM - 3:30PM
Thu: 8:00AM - 12:00PM
Fri: 9:00AM - 12:00PM
Sat:
Sun: |
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