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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 16, 2024 9:46 AM CDT
Next Update: Tuesday, April 16, 2024 12:00 PM CDT

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HACKER, KELLY JO
Practice Address: INTEGRIS BAPTIST MEDICAL CENTER
3344 N.W. 56TH ST. BLDG B SU. 660
OKLAHOMA CITY OK 73112

Address last updated on 3/25/2024
Phone #: (405) 951-2277
Fax #:
County: OKLAHOMA
License: 1373
Dated: 9/1/2004
Expires: 3/31/2025
Temp. Ltr. Issued: 10/1/2012
Temp. Ltr. Expires: 11/9/2012
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
INTEGRIS BAPTIST MEDICAL CENTER
3344 N.W. 56TH ST. BLDG B SU. 660
OKLAHOMA CITY OK 73112

Phone #: (405) 951-2277
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JEFFREY MICHAEL ASBURY MD 21211
GEORGE STEVEN CHRYSANT MD 23804
BRYAN DEAN COGAR MD 26038
WILLIAM LANCE GARNER MD 26970
SEAN MICHAEL HALLERAN MD 29644
JEFFREY MICHAEL SPARLING MD 23000

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