Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

Return to Search Licensees page

LEWIS, KRISTIN CAMILLE       
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 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:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CORBIN CORDIS APRN 110365
HALLI ELDER APRN 106246
ANDREA MILLER APRN 9679
COURTNEY RYANE TYNER PA 4652
ALYSHA ANN WEATHERHOLTZ PA 2408

Return to Search Licensees page