KAMMERLOCHER, AMBER RENEE - 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

KAMMERLOCHER, AMBER RENEE

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:	SOUTHWEST ORTHOPAEDIC & RECONSTRUCTIVE SPECIALISTS 8100 S WALKER AVE BLDG A OKLAHOMA CITY OK 73139 Address last updated on 8/5/2024
Phone #:	(405) 632-4468
Fax #:	(405) 632-0436
County:	OKLAHOMA
License:	5296
Dated:	7/25/2024
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
SOUTHWEST ORTHOPAEDIC & RECONSTRUCTIVE SPECIALISTS 8100 S WALKER AVE BLDG A OKLAHOMA CITY OK 73139 Phone #: (405) 632-4468 Fax #: (405) 632-0436

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
KRISTOPHER RYAN AVANT	DO	4499
BRADLEY REDDICK	DO	4326
Blake Stepanovich	DO	7190
DEREK L WEST	DO	4001

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