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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, November 5, 2024 10:12 AM CST
Next Update: Tuesday, November 5, 2024 12:00 PM CST

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WHALEN, ANDIE RENEE       
Practice Address: SOUTHWESTERN MEDICAL CENTER
5602 SW LEE BLVD
LAWTON OK 73505

Address last updated on 8/6/2024
Phone #: (580) 531-4824
Fax #:
County: COMANCHE
License: 5046
Dated: 5/1/2023
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:
SOUTHWESTERN MEDICAL CENTER
5602 SW LEE BLVD
LAWTON OK 73505

Phone #: (580) 531-4824
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JULIDE DURSUN AKMAN-CARMICHAEL MD 27739
JAMIE ELLEN KIRBY MD 40315
GARRI PRIYAMPOLSKIY MDC 43248

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