COLTON, KRISTIN MANUSINA - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

COLTON, KRISTIN MANUSINA

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:	STANBRO HEALTHCARE GROUP 2000 E 15TH STREET #400A EDMOND OK 73013 Address last updated on 8/10/2024
Phone #:	(405) 341-1697
Fax #:
County:	OKLAHOMA
License:	1817
Dated:	4/16/2009
Expires:	3/31/2025
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:
STANBRO HEALTHCARE GROUP 2000 E 15TH STREET #400A EDMOND OK 73013 Phone #: (405) 341-1697 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
MICHELLE M. HOLLOWAY	MD	18507
PETER BRENT STANBRO	MD	27353

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