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Oklahoma Board of Medical Licensure and Supervision

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MCELROY, KELLYE CAROTHERS       
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: 594 E. MILLSAP ROAD
FAYETTEVILLE AR 72703

Address last updated on 2/22/2008
Phone #: (479) 442-2020
Fax #: (47) 952-3988
County: NOT OKLAHOMA
License: 21502
Dated: 4/13/2000
Expires: 4/1/2009
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1987
CME Year: 2009
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 OPHTHALMOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
594 E. MILLSAP ROAD
FAYETTEVILLE AR 72703

Phone #: (479) 442-2020
Fax #: (47) 952-3988
Mon: 8:00AM - 5:30PM
Tue: 8:00AM - 5:30PM
Wed: 8:00AM - 5:30PM
Thu: 8:00AM - 5:30PM
Fri: 8:00AM - 5:30PM

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