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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

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ELERICK, KELLY JAMES
Practice Address: EASTERN OKLAHOMA VA HEALTHCARE SYSTEM
1011 HONOR HEIGHTS DRIVE
MUSKOGEE OK 74401

Address last updated on 3/22/2024
Phone #: (918) 577-3000
Fax #:
County: MUSKOGEE
License: 915
Dated: 8/27/1998
Expires: 3/31/2025
Temp. Ltr. Issued: 8/7/1997
Temp. Ltr. Expires: 8/7/1998
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:
EASTERN OKLAHOMA VA HEALTHCARE SYSTEM
1011 HONOR HEIGHTS DRIVE
MUSKOGEE OK 74401

Phone #: (918) 577-3000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ROBERT E. FOX JR DO 1578
ROCKY MAX MORGAN MD 17305
MARK ALFORD RANDEL MD 16951

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