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Oklahoma Board of Medical Licensure and Supervision

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

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HARDESTY, KAYLA DIANE       
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 OKLAHOMA
511 S WINDSOR
STILLWATER OK 74074

Address last updated on 12/16/2024
Phone #: (405) 707-0900
Fax #:
County: PAYNE
License: 1686
Dated: 1/22/2008
Expires: 3/31/2025
Temp. Ltr. Issued: 12/14/2007
Temp. Ltr. Expires: 5/17/2008
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 OKLAHOMA
511 S WINDSOR
STILLWATER OK 74074

Phone #: (405) 707-0900
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ASHRAF SHOHDY HABIB MD 19990
CHARLES WILLIAM OLSON JR. MD 18993
CHADWICK BENJAMIN ROSS DO 4329
EDWARD JAMES SCOVILL MD 15230
STUART WAYNE SHOEMAKE MD 19803
SCOTT NICHOLAS STUBBS MD 20752
THOMAS GEORGE WULLER MD 20206

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