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Last Update: Thursday, May 16, 2024 9:35 AM CDT
Next Update: Thursday, May 16, 2024 12:00 PM CDT
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GREEN, KELLY DOUGLAS
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| Practice Address: |
3025 WEST 70TH STREET
TULSA OK 74132
Address last updated on 11/19/2004 |
| Phone #: |
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| Fax #: |
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| County: |
TULSA |
| License: |
18607 |
| Dated: |
7/20/1993 |
| Expires: |
6/30/1994 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery
Neurological Surgery |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212 |
| Graduated: |
5 /
1992 |
| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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