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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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KUSHNERICK, KELLY RACHEL       
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: HILLCREST MEDICAL CENTER
1120 S UTICA AVE
TULSA OK 74104

Address last updated on 2/9/2024
Phone #: (918) 934-8347
Fax #:
County: TULSA
License: 2536
Dated: 7/23/2015
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:
HILLCREST MEDICAL CENTER
1120 S UTICA AVE
TULSA OK 74104

Phone #: (918) 934-8347
Fax #:

Hospital Privileges:

Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Memorial Surgery Center
Tulsa, OK
Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
St. Francis Hospital
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MATTHEW KENT FORD MD 29076

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