WOLLENHAUPT, KIMBERLY ROYSE - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

WOLLENHAUPT, KIMBERLY ROYSE

Practice Address:	JOHN KELLER PC MD 108 NORTH PARK FAYETTEVILLE GA 30214 Address last updated on 2/20/2001
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	19864
Dated:	7/16/1996
Expires:	7/1/2000
License Type:	Medical Doctor
Specialty:	Internal Medicine Pediatrics

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Md Sch Of Med, Baltimore Md 21201
Graduated:	6 / 1986
CME Year:	2000

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 INTERNAL MEDICINE AMERICAN BOARD OF PEDIATRICS
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
JOHN KELLER PC MD 108 NORTH PARK FAYETTEVILLE GA 30214 Phone #: Fax #: