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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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MERIDETH, PEESHA NIDIA       
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: MERCY HOSPITAL
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Address last updated on 10/30/2024
Phone #: (405) 752-3941
Fax #:
County: OKLAHOMA
License: 3100
Dated:
Expires: 3/20/2025
Temp. Ltr. Issued: 11/13/2024
Temp. Ltr. Expires: 3/20/2025
License Type: Licensed Dietitian
Specialty:
Status: Active
Status Class: Temporary
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:
MERCY HOSPITAL
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Phone #: (405) 752-3941
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TAYLOR ANN KUYKENDALL LD 2376

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