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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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PHILLIPS, KENDALL LEIGH       
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: OU HEALTH
825 NE 10TH ST
STE 1C
OKLAHOMA CITY OK 73104

Address last updated on 5/21/2024
Phone #: (405) 271-4426
Fax #: (405) 271-3461
County: OKLAHOMA
License: 1448
Dated: 5/5/2005
Expires: 3/31/2025
Temp. Ltr. Issued: 3/24/2005
Temp. Ltr. Expires: 5/7/2005
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:
OU HEALTH
825 NE 10TH ST
STE 1C
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4426
Fax #: (405) 271-3461

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Select Specialty Hospital-OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRIAN ALAN CHENOWETH MD 29364
JAMES JASON JACKSON MD 27258
PAUL JACOB DO 5494
PAUL ALAN KAMMERLOCHER MD 17277
THOMAS P. LEHMAN MD 20240
KAMLESH HASMUKH NAIK MD 20680
M. SEAN O'BRIEN DO 3481

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