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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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JENKINS, KRYSTEN 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: MERCY CLINIC HOSPITALISTS
5200 E. INTERSTATE 240 SERVICE RD.
OKLAHOMA CITY OK 73135

Address last updated on 7/11/2024
Phone #: (405) 416-9701
Fax #:
County: OKLAHOMA
License: 2328
Dated: 1/16/2014
Expires: 3/31/2025
Temp. Ltr. Issued: 12/20/2013
Temp. Ltr. Expires: 4/1/2014
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:
MERCY CLINIC HOSPITALISTS
5200 E. INTERSTATE 240 SERVICE RD.
OKLAHOMA CITY OK 73135

Phone #: (405) 416-9701
Fax #:

Hospital Privileges:

Mercy Hospital OKC
Oklahoma City, OK
Mercy Hospital OKC South
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MOHSIN AHMAD MD 32502
CHAD LANDON GARMANY MD 26511
JEFFERY RANDALL PRUITT MD 23454

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