JANSSEN, KRISTEN LEIGH - 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

JANSSEN, KRISTEN LEIGH

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:	MDE - MEDICAL DISABILITY EXAMS - OKLAHOMA CITY 4101 PERIMETER CENTER DR OKLAHOMA CITY OK 73112 Address last updated on 7/26/2024
Phone #:	(303) 916-8684
Fax #:
County:	OKLAHOMA
License:	2793
Dated:	4/28/2017
Expires:	3/31/2025
Temp. Ltr. Issued:	4/18/2017
Temp. Ltr. Expires:	9/14/2017
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:
MDE - MEDICAL DISABILITY EXAMS - OKLAHOMA CITY 4101 PERIMETER CENTER DR OKLAHOMA CITY OK 73112 Phone #: (303) 916-8684 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
Timothy Lynn Kinzie	DO	3166
JOEL JASON KRAFT	MD	28499
Amit Mahesh Shelat	DO	5904

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