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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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COOK, KELSEY       
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: GREEN COUNTRY EMERGENCY PHYSICIANS
1145 S UTICA AVE SUITE 365
TULSA OK 74104

Address last updated on 11/5/2024
Phone #: (918) 728-3354
Fax #:
County: TULSA
License: 4527
Dated: 2/9/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 1/20/2021
Temp. Ltr. Expires: 3/11/2021
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:
GREEN COUNTRY EMERGENCY PHYSICIANS
1145 S UTICA AVE SUITE 365
TULSA OK 74104

Phone #: (918) 728-3354
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JERRY CASTLEBERRY DO 4481

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