RICHARDSON, TIMOTHY J - Licensee Information

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Last Update: Tuesday, November 5, 2024 10:12 AM CST
Next Update: Tuesday, November 5, 2024 12:00 PM CST

RICHARDSON, TIMOTHY J

Practice Address:	OKLAHOMA CITY VA MEDICAL CENTER 921 NE 13TH STREET OKLAHOMA CITY OK 73014-5007 Address last updated on 5/13/2024
Phone #:	(405) 456-1000 x3742
Fax #:
County:	OKLAHOMA
License:	4699
Dated:	11/2/2021
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

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 VA MEDICAL CENTER 921 NE 13TH STREET OKLAHOMA CITY OK 73014-5007 Phone #: (405) 456-1000 x3742 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JEAN I. KEDDISSI	MD	20091