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Next Update: Thursday, December 19, 2024 2:50 AM CST

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ELLIS, SHANNON       
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: KNOWLEDGE HEALTH MEDICAL SERVICES
298 FIFTH AVE
SEVENTH FLOOR
NEW YORK NY 10001

Address last updated on 9/23/2020
Phone #: (866) 564-7848
Fax #:
County: NOT OKLAHOMA
License: 37356
Dated: 9/23/2020
Expires: 10/1/2021
License Type: Medical Doctor
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
CME Year: 2023
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
KNOWLEDGE HEALTH MEDICAL SERVICES
298 FIFTH AVE
SEVENTH FLOOR
NEW YORK NY 10001

Phone #: (866) 564-7848
Fax #:

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