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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, December 24, 2024 1:13 PM CST
Next Update: Tuesday, December 24, 2024 4:30 PM CST

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MASS, SHANE       
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: W W HASTINGS HOSPITAL
100 BLISS AVE
TAHLEQUAH OK 74464

Address last updated on 7/29/2024
Phone #: (918) 458-3100
Fax #:
County: CHEROKEE
License: 5399
Dated: 10/28/2024
Expires: 3/31/2025
Temp. Ltr. Issued: 9/10/2024
Temp. Ltr. Expires: 11/21/2024
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:
W W HASTINGS HOSPITAL
100 BLISS AVE
TAHLEQUAH OK 74464

Phone #: (918) 458-3100
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KATHRYN HUGHES DO 5156

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