THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
16/07/25 06:43:41 AM

General Information

Former Name: No Former Name
Medical School: McMaster University, 2009
Gender: Woman
Languages Spoken: ENGLISH

Practice Information

Primary Business Location: Hamilton Health Sciences
Hamilton General Hospital
237 Barton Street East
Hamilton Ontario L8L 2X2
Business Email: No Information Available
Phone: (905) 521-2100
Extension: 46368
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Emergency Medicine
Effective: 13 Jun 2015
Royal College of Physicians and Surgeons of Canada
Family Medicine (Emergency Medicine)
Effective: 19 Oct 2012
College of Family Physicians of Canada
Family Medicine
Effective: 24 Jun 2011
College of Family Physicians of Canada
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Jun 13 2015
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Family Medicine (Emergency Medicine)
ISSUED ON: Effective: Oct 19 2012
CERTIFYING BODY: College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 24 2011
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Hamilton Health Sciences General Site Hamilton
Hamilton Health Sciences Juravinski Hospital and Cancer Centre Hamilton
HOSPITAL: Hamilton Health Sciences General Site
LOCATION: Hamilton
HOSPITAL: Hamilton Health Sciences Juravinski Hospital and Cancer Centre
LOCATION: Hamilton

Professional Corporation Information

Corporation Name: Kelly van Diepen Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 07 Dec 2015
Shareholders:
Dr. K. van Diepen (CPSO#: 90651 )
Business Address: 690 Main Street West
Hamilton Ontario L8S 1A4 (905) 521-2100 Extn: 46368
Business Address: Hamilton Health Science
Hamilton General Hospital
237 Barton Street East
Hamilton Ontario L8L 2X2 (905) 521-2100 Extn: 46368
Business Address: 711 Concession Street
Hamilton Ontario L8V 1C1 (905) 521-2100 Extn: 46368

General Information

Former Name: No Former Name
Gender: Woman
Languages Spoken: ENGLISH
Medical School: McMaster University, 2009

Practice Information

Primary Business Location: Hamilton Health Sciences
Hamilton General Hospital
237 Barton Street East
Hamilton Ontario L8L 2X2
Business Email: No Information Available
Phone: (905) 521-2100
Extension: 46368
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Emergency Medicine
Effective: 13 Jun 2015
Royal College of Physicians and Surgeons of Canada
Family Medicine (Emergency Medicine)
Effective: 19 Oct 2012
College of Family Physicians of Canada
Family Medicine
Effective: 24 Jun 2011
College of Family Physicians of Canada
SPECIALTY: Emergency Medicine
ISSUED ON: Effective: Jun 13 2015
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada
SPECIALTY: Family Medicine (Emergency Medicine)
ISSUED ON: Effective: Oct 19 2012
CERTIFYING BODY: College of Family Physicians of Canada
SPECIALTY: Family Medicine
ISSUED ON: Effective: Jun 24 2011
CERTIFYING BODY: College of Family Physicians of Canada

Hospital Privileges

HOSPITAL LOCATION
Hamilton Health Sciences General Site Hamilton
Hamilton Health Sciences Juravinski Hospital and Cancer Centre Hamilton
HOSPITAL: Hamilton Health Sciences General Site
LOCATION: Hamilton
HOSPITAL: Hamilton Health Sciences Juravinski Hospital and Cancer Centre
LOCATION: Hamilton

Professional Corporation Information

Corporation Name: Kelly van Diepen Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: 07 Dec 2015
Shareholders:
Dr. K. van Diepen (CPSO#: 90651 )
Business Address: 690 Main Street West
Hamilton Ontario L8S 1A4 (905) 521-2100 Extn: 46368
Business Address: Hamilton Health Science
Hamilton General Hospital
237 Barton Street East
Hamilton Ontario L8L 2X2 (905) 521-2100 Extn: 46368
Business Address: 711 Concession Street
Hamilton Ontario L8V 1C1 (905) 521-2100 Extn: 46368

Practice Conditions

VIEW DETAILS chevron-down icon
(1) Dr. KELLY MARIE VAN DIEPEN may practise only in the areas of medicine in which Dr. VAN DIEPEN is educated and experienced.
VIEW DETAILS chevron-down icon
(1) Dr. KELLY MARIE VAN DIEPEN may practise only in the areas of medicine in which Dr. VAN DIEPEN is educated and experienced.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: McMaster University, 2009

Registration History

DETAILS DATE
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 30 Jun 2015
Expired: Terms and conditions of certificate of registration Effective: 04 May 2015
First certificate of registration issued: Postgraduate Education Certificate Effective: 01 Jul 2009
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 30 Jun 2015
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 04 May 2015
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 01 Jul 2009