MORRIS, KYNDRA DAWN - Licensee Information

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

MORRIS, KYNDRA DAWN

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:	AESTHETIC CENTER OF EXCELLENCE 6200 W MEMORIAL RD SUITE H OKLAHOMA CITY OK 73142 Address last updated on 10/15/2024
Phone #:	(405) 452-0055
Fax #:
County:	OKLAHOMA
License:	2205
Dated:	2/19/2013
Expires:	3/31/2025
Temp. Ltr. Issued:	2/8/2013
Temp. Ltr. Expires:	4/1/2013
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:
AESTHETIC CENTER OF EXCELLENCE 6200 W MEMORIAL RD SUITE H OKLAHOMA CITY OK 73142 Phone #: (405) 452-0055 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
JUAN ADOLFO BROU	MD	17485
ERIN COLLETTE KELLY	MD	27649

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