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KITTREDGE, DIANE       
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: CHILDREN'S HOSPITAL OF OKLA
DEPT OF PEDIATRICS
940 NE 13TH
OKLAHOMA CITY OK 73190
Phone #:
Fax #:
County: OKLAHOMA
License: 12410
Dated: 8/15/1979
Expires: 8/1/1998
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Harvard Med Sch, Boston Ma 02115
Graduated: 6 / 1972
CME Year:
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.
Certifications: AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHILDREN'S HOSPITAL OF OKLA
DEPT OF PEDIATRICS
940 NE 13TH
OKLAHOMA CITY OK 73190

Phone #:
Fax #:

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