FORD HOLDMEYER, KASSIDY TAYLOR - 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

FORD HOLDMEYER, KASSIDY 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:	INTEGRIS HEALTH COUNCIL CROSSING FAMILY MEDICINE 9417 N COUNCIL ROAD SUITE 200 OKC OK 73162 Address last updated on 2/1/2024
Phone #:	(405) 470-2590
Fax #:
County:	OKLAHOMA
License:	4871
Dated:	4/4/2023
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:
INTEGRIS HEALTH COUNCIL CROSSING FAMILY MEDICINE 9417 N COUNCIL ROAD SUITE 200 OKC OK 73162 Phone #: (405) 470-2590 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JENNIFER JUNE SEMORE	MD	28143

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