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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 11:57 AM CDT
Next Update: Friday, May 3, 2024 4:30 PM CDT

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KELLEY, MICHELLE RENEE
Practice Address: 2900 E. 5TH ST
TULSA OK 74104
TULSA OK 74104

Address last updated on 2/1/2024
Phone #: (918) 637-9087
Fax #: (877) 370-4241
County: TULSA
License: 20270
Dated: 7/10/1997
Expires: 7/1/2024
Training Issued: 7/1/1996
Training Expires: 8/1/1997
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1996
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 FAMILY MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
Great West Healthcare
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
Hospital Privileges: None listed
Locations: Hours: Languages:
2900 E. 5TH ST
TULSA OK 74104
TULSA OK 74104

Phone #: (918) 637-9087
Fax #: (877) 370-4241
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RANDAL PAUL COOK PA 2042
HEIDI SWIFT APRN 135612

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