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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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KIRCHHOFF, KERRI JENNELLE       
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: C/O OU MEDICINE BREAST HEALTH NETWORK
13401 N. MACARTHUR BLVD
SUITE 108
OKLAHOMA CITY OK 73142

Address last updated on 5/12/2024
Phone #: (405) 755-2273
Fax #:
County: OKLAHOMA
License: 18950
Dated: 7/1/1994
Expires: 7/1/2025
Training Issued: 6/17/1993
Training Expires: 9/1/1994
License Type: Medical Doctor
Specialty: Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108
Graduated: 5 / 1993
CME Year: 2027
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.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Edmond
Edmond, OK
Lakeside Women's Hospital
Oklahoma City, OK
Locations: Hours: Languages:
C/O OU MEDICINE BREAST HEALTH NETWORK
13401 N. MACARTHUR BLVD
SUITE 108
OKLAHOMA CITY OK 73142

Phone #: (405) 755-2273
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ROGER DIXON HELLWEGE PA 1230
SUSAN DORINDA WORSHAM PA 719

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