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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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LOVELACE, KELLI ANN
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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: |
2121 EAST 21 STREET
PO BOX 52588
TULSA OK 74152-0588
Address last updated on 6/3/2024 |
| Phone #: |
(918) 749-2961 |
| Fax #: |
(918) 749-8712 |
| County: |
TULSA |
| License: |
23483 |
| Dated: |
8/18/2004 |
| Expires: |
8/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Dermatology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
2003 |
| CME Year: |
2025 |
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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: |
AMERICAN BOARD OF DERMATOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
OSMA Health (formerly Plico PPO)
Railroad Medicare
SoonerCare HMO
SoonerCare PPO
United Healthcare Choice |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
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