DAHLENBURG, KENADEY ROSE - Licensee Information

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

DAHLENBURG, KENADEY ROSE

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:	THOMASON MEDICAL CLINIC 126 W MAIN ST BINGER OK 73009 Address last updated on 9/13/2024
Phone #:	(833) 274-4174
Fax #:	(833) 274-4175
County:	CADDO
License:	4712
Dated:	11/2/2021
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:
THOMASON MEDICAL CLINIC 126 W MAIN ST BINGER OK 73009 Phone #: (833) 274-4174 Fax #: (833) 274-4175

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
Kayla Rachelle Pratt	DO	6234
Trey Delmer Thomason	DO	5830

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