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BUCKNER, KAITLIN DAWN       
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: HASKELL COUNTY HEALTHCARE SYSTEM
401 NW H STREET
STIGLER OK 74462

Address last updated on 3/13/2006
Phone #: (918) 967-3355
Fax #:
County: HASKELL
License: 1414
Dated: 2/22/2005
Expires: 3/31/2008
Temp. Ltr. Issued: 1/27/2005
Temp. Ltr. Expires: 4/2/2005
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
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.
Locations: Hours: Languages:
HASKELL COUNTY HEALTHCARE SYSTEM
401 NW H STREET
STIGLER OK 74462

Phone #: (918) 967-3355
Fax #:

Hospital Privileges:

None listed

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