LANDIS, KADRIYE ANN - 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

LANDIS, KADRIYE ANN

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 EDMOND HOSPITAL 4801 INTEGRIS PKWY EDMOND OK 73034-8864 Address last updated on 3/24/2024
Phone #:	(405) 657-3000
Fax #:
County:	OKLAHOMA
License:	5113
Dated:	10/20/2023
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 EDMOND HOSPITAL 4801 INTEGRIS PKWY EDMOND OK 73034-8864 Phone #: (405) 657-3000 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JARROD JAMES MUEGGENBORG	DO	4935

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