LEWIS, KRISTIN CAMILLE - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

LEWIS, KRISTIN CAMILLE

Practice Address:	MERCY EDMOND I-35 NORTH CLINIC 2017 W I-35 FRONTAGE RD STE 170 EDMOND OK 73013 Address last updated on 5/3/2024
Phone #:	(405) 757-3742
Fax #:	(405) 151-3744
County:	OKLAHOMA
License:	28624
Dated:	7/1/2013
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	MEDICINE/PEDIATRICS

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	5 / 2011
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 INTERNAL MEDICINE AMERICAN BOARD OF PEDIATRICS
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
MERCY EDMOND I-35 NORTH CLINIC 2017 W I-35 FRONTAGE RD STE 170 EDMOND OK 73013 Phone #: (405) 757-3742 Fax #: (405) 151-3744	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
CORBIN CORDIS	APRN	110365
HALLI ELDER	APRN	106246
ANDREA MILLER	APRN	9679
COURTNEY RYANE TYNER	PA	4652
ALYSHA ANN WEATHERHOLTZ	PA	2408