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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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DUNHAM, KRYSTAL SADE       
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: 8211 E REGAL PL STE 100
PMB# 704
TULSA OK 74133

Address last updated on 10/17/2024
Phone #: (918) 539-0678
Fax #: (918) 273-6660
County: TULSA
License: 2630
Dated: 11/1/2021
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:
8211 E REGAL PL STE 100
PMB# 704
TULSA OK 74133

Phone #: (918) 539-0678
Fax #: (918) 273-6660

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