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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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SELLS, KRISTIN LYNNETTE       
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: CHANDLER OUTREACH MEDICAL CLINIC
1116 MANVEL
CHANDLER OK 74834

Address last updated on 3/29/2024
Phone #: (405) 258-5252
Fax #: (405) 258-5552
County: LINCOLN
License: 742
Dated: 4/1/1996
Expires: 3/31/2025
Temp. Ltr. Issued: 8/3/1995
Temp. Ltr. Expires: 8/3/1996
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
3/22/2007 Administrative Fine
1/26/2007 Complaint Citation
Board Filings and/or Orders:
03/22/2007
01/17/2007
01/17/2007
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
CHANDLER OUTREACH MEDICAL CLINIC
1116 MANVEL
CHANDLER OK 74834

Phone #: (405) 258-5252
Fax #: (405) 258-5552

Hospital Privileges:

Carrus Lakeside Hospital (fmly Bristow Medical Center)
Bristow, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
COLM MCCAULEY DO 4100

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