BANT, KATELYN TAYLOR - Licensee Information

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

BANT, KATELYN TAYLOR

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 CITY INDIAN CLINIC 4913 W RENO AVE OKLAHOMA CITY OK 73127 Address last updated on 2/5/2024
Phone #:	(405) 948-4900
Fax #:
County:	OKLAHOMA
License:	3155
Dated:	2/14/2020
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:
OKLAHOMA CITY INDIAN CLINIC 4913 W RENO AVE OKLAHOMA CITY OK 73127 Phone #: (405) 948-4900 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KRISTEN DENAE JORDAN	MD	28482

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