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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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YOHANNAN, JINCY       
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: VA PULM SPECIALTY CLINIC
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 2/17/2024
Phone #: (405) 456-1000
Fax #:
County: OKLAHOMA
License: 2571
Dated: 1/6/2016
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:
VA PULM SPECIALTY CLINIC
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 456-1000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KELLIE RENEE JONES MD 20751
JEAN I. KEDDISSI MD 20091

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