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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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KUKLINSKI, HEATHER COLLIGAN       
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: ORTHO CENTRAL
3400 W. TECUMSEH #101
NORMAN OK 73072

Address last updated on 3/27/2024
Phone #: (405) 360-6764
Fax #:
County: CLEVELAND
License: 1405
Dated: 4/1/2005
Expires: 3/31/2025
Temp. Ltr. Issued: 12/16/2004
Temp. Ltr. Expires: 4/2/2005
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:
ORTHO CENTRAL
3400 W. TECUMSEH #101
NORMAN OK 73072

Phone #: (405) 360-6764
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
THEODORE ALAN BOEHM MD 23491
JAMES LEE BOND MD 21989
BRIAN EDWARD CLOWERS MD 24508
SCOTT MARTIN DE LA GARZA MD 21981
TIMOTHY MICHAEL GEIB MD 22888
RICHARD ALAN KIRKPATRICK MD 22376
ZAKARY ADAM KNUTSON MD 24509
SEETHAL RAO MADHAVARAPU MD 23053
COREY EUGENE PONDER MD 22884
AMANDA LAYNE SADLER MD 32903

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