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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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HODGES, KRISTEN WALTERS       
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: OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE
1110 N LEE AVE
SUITE 200
OKLAHOMA CITY OK 73103

Address last updated on 3/5/2024
Phone #: (405) 218-2530
Fax #: (405) 218-2535
County: OKLAHOMA
License: 1682
Dated: 4/1/2008
Expires: 3/31/2025
Temp. Ltr. Issued: 3/21/2008
Temp. Ltr. Expires: 5/16/2008
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE
1110 N LEE AVE
SUITE 200
OKLAHOMA CITY OK 73103

Phone #: (405) 218-2530
Fax #: (405) 218-2535

Hospital Privileges:

SSM Health Bone and Joint Hospital at St. Anthony
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
St. Anthony Healthplex - East Campus (I-40 & Douglas)
Oklahoma City, OK
St. Anthony Healthplex - South Campus (I-44 & SW 134th St)
Oklahoma City, OK
St. Anthony North Ambulatory Surgery Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SCOTT MARTIN DE LA GARZA MD 21981
TIMOTHY MICHAEL GEIB MD 22888
JOHN LARSON GLOMSET III MD 29497
JACOB ASHER HAYNES MD 33602
RICHARD ALAN KIRKPATRICK MD 22376

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