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Oklahoma Board of Medical Licensure and Supervision

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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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KELLY, SARAH ELIZABETH       
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: ASCENSION ST JOHN OWASSO
13600 E 86TH ST N SUITE 100
OWASSO OK 74055

Address last updated on 3/4/2024
Phone #: (918) 272-9313
Fax #:
County: TULSA
License: 1428
Dated: 2/3/2005
Expires: 3/31/2025
Temp. Ltr. Issued: 1/13/2005
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:
ASCENSION ST JOHN OWASSO
13600 E 86TH ST N SUITE 100
OWASSO OK 74055

Phone #: (918) 272-9313
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JEFFREY BRIAN CRAIG MD 27305
CHRISTOPHER ROBERTS KLOTZ MD 18429
CYNTHIA ANN MALOY MD 17295
JACQUELINE MARIE PETRAY MD 16104
RAPHA A. S. WILEY MD 28492

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