GILCREST, KELLY ANN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

GILCREST, KELLY ANN

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:	CHEROKEE NATION OUTPATIENT HEALTH CENTER 19600 E ROSS STREET TAHLEQUAH OK 74464-0000 Address last updated on 3/27/2024
Phone #:	(539) 234-1000
Fax #:	(539) 234-3392
County:	CHEROKEE
License:	1023
Dated:	3/8/2000
Expires:	3/31/2025
Temp. Ltr. Issued:	12/30/1999
Temp. Ltr. Expires:	3/11/2000
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
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.

Locations:	Hours:	Languages:
CHEROKEE NATION OUTPATIENT HEALTH CENTER 19600 E ROSS STREET TAHLEQUAH OK 74464-0000 Phone #: (539) 234-1000 Fax #: (539) 234-3392

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
JEFFREY GASTORF	DO	3950
JAY ALAN GEARY	MD	23712
CLELL W. POND	DO	3484

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