PRUITT, MEREDITH ADELE - 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

PRUITT, MEREDITH ADELE

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:	OKLAHOMA PAIN CENTER 13921 NORTH MERIDIAN SUITE 100 OKLAHOMA CITY OK 73134 Address last updated on 3/19/2024
Phone #:	(405) 752-9600
Fax #:
County:	OKLAHOMA
License:	1869
Dated:	2/26/2010
Expires:	3/31/2025
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:
OKLAHOMA PAIN CENTER 13921 NORTH MERIDIAN SUITE 100 OKLAHOMA CITY OK 73134 Phone #: (405) 752-9600 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
STEPHEN BLAKE KELLY	MD	21242

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