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Oklahoma Board of Medical Licensure and Supervision

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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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WISMANN, ANDREA ELAINE       
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: OKLAHOMA CITY VA MEDICAL CENTER
921 NORTHEAST 13TH STREET
COMMUNITY LIVING CENTER
OKLAHOMA CITY OK 73104-5007

Address last updated on 2/14/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 39061
Dated: 3/28/2022
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Geriatric Medicine (Family Practice)
Family Medicine
GERIATRICS
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Colorado Sch Of Med (frmly in Denver)
Graduated: 5 / 2009
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 FAMILY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE - Geriatric Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
OKLAHOMA CITY VA MEDICAL CENTER
921 NORTHEAST 13TH STREET
COMMUNITY LIVING CENTER
OKLAHOMA CITY OK 73104-5007

Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DENISE KENDALL APRN 137617

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