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KELLY, DANIELLE 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: ESPA
550 N. HILLSIDE
WICHITA KS 67214-4910

Address last updated on 7/24/2012
Phone #: (316) 962-2239
Fax #:
County: NOT OKLAHOMA
License: 2143
Dated: 7/24/2012
Expires: 3/31/2013
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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:
ESPA
550 N. HILLSIDE
WICHITA KS 67214-4910

Phone #: (316) 962-2239
Fax #:

Hospital Privileges:

None listed

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