DENNIS, KELLY MARIE - 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

DENNIS, KELLY MARIE

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:	INTEGRIS CANADIAN VALLEY WOMEN'S CLINIC 1205 HEALTH CENTER PARKWAY SUITE 240B YUKON OK 73099 Address last updated on 3/18/2024
Phone #:	(405) 717-5496
Fax #:	(405) 717-5320
County:	CANADIAN
License:	1406
Dated:	4/1/2005
Expires:	3/31/2025
Temp. Ltr. Issued:	1/6/2005
Temp. Ltr. Expires:	5/5/2005
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:
INTEGRIS CANADIAN VALLEY WOMEN'S CLINIC 1205 HEALTH CENTER PARKWAY SUITE 240B YUKON OK 73099 Phone #: (405) 717-5496 Fax #: (405) 717-5320

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
KATIE JONES	DO	5236
GREGORY P ROOT	DO	5273

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