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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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KELLY, ERIN COLLETTE       
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: 4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Address last updated on 9/11/2024
Phone #: (405) 755-1515
Fax #:
County: OKLAHOMA
License: 27649
Dated: 4/1/2010
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2007
CME Year: 2025
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Phone #: (405) 755-1515
Fax #:
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Tue:
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6200 W Memorial Rd
Ste H
Oklahoma City, OK 73142

Phone #: (405) 308-5580
Fax #: (4) 202-
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
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14201 N Santa Fe
Suite 107
Edmond, OK 73013

Phone #: (405) 252-7540 x1
Fax #: (6) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CAROL LE HOMER PA 2163
KYNDRA DAWN MORRIS PA 2205
GRACE ELIZABETH SCORSONE PA 5350
ELIZABETH SILL APRN 129049

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