STEPHENS, GEORGE KELLOGG III - Licensee Information

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

STEPHENS, GEORGE KELLOGG III

Practice Address:	MERCY HEALTH - EDMOND - I-35 2301 W. I-35 FRONTAGE RD EDMOND OK 73013 Address last updated on 6/7/2023
Phone #:	(405) 757-3365
Fax #:	(405) 757-3498
County:	OKLAHOMA
License:	15338
Dated:	7/1/1985
Expires:	7/1/2024
License Type:	Medical Doctor
Specialty:	Pediatrics

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	5 / 1984
CME Year:	2024

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.

Certifications:	AMERICAN BOARD OF PEDIATRICS
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	Mercy Hospital OKC Oklahoma City, OK

Locations:	Hours:	Languages:
MERCY HEALTH - EDMOND - I-35 2301 W. I-35 FRONTAGE RD EDMOND OK 73013 Phone #: (405) 757-3365 Fax #: (405) 757-3498	Mon: 9:00AM - 4:45PM Tue: 9:00AM - 4:45PM Wed: 9:00AM - 4:45PM Thu: 9:00AM - 4:45PM Fri: Sat: Sun:
2017 W. I-35 Frontage Rd Edmond, OK 73013 Phone #: (405) 341-7009 Fax #: (7) 201-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
KRISTIN ANN KRAKOWSKI	PA	1768
JASON SEAY	APRN	106205
JENNA WEATHERS	APRN	86278