Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, May 13, 2024 4:03 AM CDT
Next Update: Monday, May 13, 2024 12:00 PM CDT

Return to Search Licensees page

WOLLENHAUPT, KIMBERLY ROYSE       
Practice Address: JOHN KELLER PC MD
108 NORTH PARK
FAYETTEVILLE GA 30214

Address last updated on 2/20/2001
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 19864
Dated: 7/16/1996
Expires: 7/1/2000
License Type: Medical Doctor
Specialty: Internal Medicine
Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduated: 6 / 1986
CME Year: 2000
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 INTERNAL MEDICINE
AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
JOHN KELLER PC MD
108 NORTH PARK
FAYETTEVILLE GA 30214

Phone #:
Fax #:

Return to Search Licensees page