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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 4:07 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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CHRISTIANSON, KELLE RENEE
Practice Address: SOUL ASTHETICS
1312 E 36TH PLACE
TULSA OK 74105

Address last updated on 3/25/2024
Phone #: (918) 779-7590
Fax #:
County: TULSA
License: 1551
Dated: 11/2/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 8/3/2006
Temp. Ltr. Expires: 11/4/2006
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:
SOUL ASTHETICS
1312 E 36TH PLACE
TULSA OK 74105

Phone #: (918) 779-7590
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JENNIE MARIA HUNNEWELL MD 20314

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