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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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YOUNG, SHEKEYLA       
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: FAIRFAX MEDICAL FACILITIES INC.
716 S HIGHWAY 77
NEWKIRK OK 74647

Address last updated on 9/3/2024
Phone #: (918) 481-4000
Fax #:
County: KAY
License: 4637
Dated: 7/14/2021
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:
FAIRFAX MEDICAL FACILITIES INC.
716 S HIGHWAY 77
NEWKIRK OK 74647

Phone #: (918) 481-4000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
NEAL ROSS BROCKBANK DO 5853
JEFFREY SCOTT GRANTHAM MD 29024
Dustin O'Leath Hayes DO 5382
RODERICK NEIL PURDIE MD 19098

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