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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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CHAMPLIN, KEITH EDWARDS       
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: ST. FRANCIS TRAUMA INSTITUTE
6161 S. YALE AVE.
LEVEL B
TULSA OK 74136

Address last updated on 7/9/2024
Phone #: (918) 494-6980
Fax #:
County: TULSA
License: 39882
Dated: 8/22/2022
Expires: 8/1/2025
Temp. Lic. Issued: 7/22/2022
Temp. Lic. Expires: 9/15/2022
License Type: Medical Doctor
Specialty: Trauma Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2015
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 SURGERY
AMERICAN BOARD OF SURGERY (Surgery specific) - Surgical Critical Care
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ST. FRANCIS TRAUMA INSTITUTE
6161 S. YALE AVE.
LEVEL B
TULSA OK 74136

Phone #: (918) 494-6980
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JAYNE ELIZABETH CONTRERAS PA 2103
DANIEL MACK HUNT PA 5042
JOHN MICHAEL NEISEN PA 4613

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