REDDING, KRISTIN NICOLE - 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

REDDING, KRISTIN NICOLE

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:	MOORE FAITH MEDICAL CLINIC 224 S CHESTNUT BLVD SUITE 100 MOORE OK 73160 Address last updated on 12/3/2024
Phone #:	(405) 759-0853
Fax #:
County:	CLEVELAND
License:	3198
Dated:	6/4/2020
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:
MOORE FAITH MEDICAL CLINIC 224 S CHESTNUT BLVD SUITE 100 MOORE OK 73160 Phone #: (405) 759-0853 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
BRIAN DOUGLAS JOHNSON	MD	17131
JAMES LE	DO	5402
MICHAEL PATRICK MORRIS	MD	14834

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