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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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KUYKENDALL, TAYLOR ANN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 4300 W. MEMORIAL RD.
OKLAHOMA CITY OK 73120

Address last updated on 10/17/2024
Phone #:
Fax #:
County: CLEVELAND
License: 2376
Dated: 11/20/2018
Expires: 10/31/2025
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
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:
4300 W. MEMORIAL RD.
OKLAHOMA CITY OK 73120

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
PEESHA NIDIA MERIDETH LD 3100

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