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Last Update: Wednesday, May 8, 2024 8:59 AM CDT
Next Update: Wednesday, May 8, 2024 12:00 PM CDT
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HODGES, JACI RANEA
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| Practice Address: |
KENAN KIRKENDALL DO PC
4900 OKLAHOMA AVENUE
WOODWARD OK 73801
Address last updated on 2/7/2024 |
| Phone #: |
(580) 254-5316 |
| Fax #: |
(580) 256-6508 |
| County: |
WOODWARD |
| License: |
3097 |
| Dated: |
11/7/2019 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
11/4/2019 |
|
Temp.
Ltr.
Expires:
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3/5/2020 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| 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):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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KENAN KIRKENDALL
|
DO |
3310 |
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