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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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CRAIG, KYLE DAWSON       
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 JOHN PHYSICIANS INC
3400 E FRANK PHILLIPS BLVD
STE 501
BARTLESVILLE OK 74006

Address last updated on 4/1/2024
Phone #: (918) 331-2415
Fax #: (918) 331-2415
County: WASHINGTON
License: 25600
Dated: 5/1/2007
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Obstetrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 6 / 2002
CME Year: 2025
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: Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
Locations: Hours: Languages:
ST JOHN PHYSICIANS INC
3400 E FRANK PHILLIPS BLVD
STE 501
BARTLESVILLE OK 74006

Phone #: (918) 331-2415
Fax #: (918) 331-2415
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JUDY CARPENTER APRN 17779
NEDRA EDWARDS APRN 68861
LISA JOHNSON APRN 116093
LYNDEE TAYLOR APRN 1363

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