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Last Update: Saturday, April 27, 2024 4:04 AM CDT
Next Update: Saturday, April 27, 2024 12:00 PM CDT
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|
SHORT, KIRSTEN NICOLE |
| Practice Address: |
SSM HEALTH DERMATOLOGY
1622 MIDTOWN PLACE
MIDWEST CITY OK 73130
Address last updated on 2/5/2024 |
| Phone #: |
(405) 280-7546 |
| Fax #: |
|
| County: |
OKLAHOMA |
| License: |
2453 |
| Dated: |
1/15/2015 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
12/26/2014 |
|
Temp.
Ltr.
Expires:
|
1/16/2015 |
| License Type: |
Physician Assistant |
| Specialty: |
|
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| CME Year: |
2025 |
|
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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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Hospital Privileges:
None listed
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
SHELBI RENEE HAYES
|
MD |
28831 |
|
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