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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

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HAYNES, KELSEY MICHELLE       
Practice Address: COUNCIL OAK COMPREHENSIVE HEALTHCARE
10109 E 79TH ST
TULSA OK 74133

Address last updated on 9/6/2024
Phone #: (918) 940-7542
Fax #:
County: TULSA
License: 4634
Dated: 11/1/2021
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:
COUNCIL OAK COMPREHENSIVE HEALTHCARE
10109 E 79TH ST
TULSA OK 74133

Phone #: (918) 940-7542
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JEANNETTE CAROLINA POWER MD 25814
KATHRYN SUE ZACKERY DO 4825

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