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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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KELLINGTON, ROBERT WILLIAM II       
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: SSM EL RENO EMERGENCY DEPARTMENT
3333 TERRITORY LANE
EL RENO OK 73036

Address last updated on 11/18/2024
Phone #: (405) 252-3500
Fax #:
County: CANADIAN
License: 2458
Dated: 1/15/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 1/9/2015
Temp. Ltr. Expires: 4/1/2015
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:
SSM EL RENO EMERGENCY DEPARTMENT
3333 TERRITORY LANE
EL RENO OK 73036

Phone #: (405) 252-3500
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHAD BORIN DO 3746
CONRAD C CALDWELL III MD 22805
KURT FEIGHNER DO 3570
ALICIA KRUMMEL MD 29988
PHILIP LEON SLOAN MD 28808

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