TAYLOR, MADISON KAY - 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

TAYLOR, MADISON KAY

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:	ASCENSION ST. JOHN CLINIC CARDIOLOGY 3460 SE FRANK PHILLIPS BLVD BARTLESVILLE OK 74006 Address last updated on 10/23/2024
Phone #:	(918) 332-3600
Fax #:
County:	WASHINGTON
License:	2924
Dated:	6/21/2018
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:
ASCENSION ST. JOHN CLINIC CARDIOLOGY 3460 SE FRANK PHILLIPS BLVD BARTLESVILLE OK 74006 Phone #: (918) 332-3600 Fax #:

Hospital Privileges:

Ascension St. John Jane Phillips Medical Center
Bartlesville, OK

Name:	Type:	License Number:
Primary Supervisor(s):
GARY T. DYKSTRA	DO	3077
ANDERSON PRITCHARD MEHRLE	MD	26605

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