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DAVIS, KRISTIE LYNN       
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: 5247 S. COLUMBIA AVE
TULSA OK 74105

Address last updated on 7/28/2020
Phone #: (501) 844-1482
Fax #:
County: TULSA
License: 29411
Dated: 8/27/2012
Expires: 8/1/2021
Temp. Lic. Issued: 7/20/2012
Temp. Lic. Expires: 9/15/2012
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1990
CME Year: 2021
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5247 S. COLUMBIA AVE
TULSA OK 74105

Phone #: (501) 844-1482
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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