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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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PETERSEN, KRISTY MICHELE       
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: ST. MARYS REGIONAL MEDICAL CENTER
305 S. 5TH STREET
ENID OK 73701

Address last updated on 6/20/2023
Phone #: (580) 233-6100
Fax #: (580) 213-2069
County: GARFIELD
License: 19458
Dated: 8/24/1995
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1994
CME Year: 2027
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. Mary's Regional Medical Center
Enid, OK
Locations: Hours: Languages:
ST. MARYS REGIONAL MEDICAL CENTER
305 S. 5TH STREET
ENID OK 73701

Phone #: (580) 233-6100
Fax #: (580) 213-2069
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
FRANCES BILLINGS APRN 13904
JEANNE PEARSON APRN 116045

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