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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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THOMAS, KYNDELL DENISE       
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: STILLWATER MEDICAL CENTER
1301 W 6TH AVE
SUITE 105
STILLWATER OK 74074

Address last updated on 2/8/2024
Phone #: (405) 372-1480
Fax #:
County: PAYNE
License: 3035
Dated: 5/28/2019
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:
STILLWATER MEDICAL CENTER
1301 W 6TH AVE
SUITE 105
STILLWATER OK 74074

Phone #: (405) 372-1480
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARK R DAMON II DO 4752
Melissa Shanay Herring DO 5748
JERROD LEE VAUGHN MD 25846
James Christopher Zwanch DO 6565

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