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KELLOGG, SANDRA ANN       
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: MEADOW BROOK SPECIALTY HOSPITAL
3219 S 79TH E AVE
TULSA OK 74145

Address last updated on 11/16/2004
Phone #: (918) 355-2655
Fax #:
County: TULSA
License: 1264
Dated: 11/14/1996
Expires: 11/30/2006
License Type: Respiratory Care Practitioner
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
MEADOW BROOK SPECIALTY HOSPITAL
3219 S 79TH E AVE
TULSA OK 74145

Phone #: (918) 355-2655
Fax #:

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