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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

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BRAUD, KRISTA BAINE
Practice Address: 4 R FAMILIES MEDICAL CLINIC
330 S. 5TH STREET SUITE 202
ENID OK 73701

Address last updated on 3/24/2024
Phone #: (580) 297-5340
Fax #: (580) 297-5344
County: GARFIELD
License: 1259
Dated: 4/1/2003
Expires: 3/31/2025
Temp. Ltr. Issued: 1/16/2003
Temp. Ltr. Expires: 3/31/2003
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:
4 R FAMILIES MEDICAL CLINIC
330 S. 5TH STREET SUITE 202
ENID OK 73701

Phone #: (580) 297-5340
Fax #: (580) 297-5344

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHAEL LAWRENCE DO 4206
JAMES MICHAEL PONTIOUS MD 12733
MARGO RENEE SHORT MD 23498
FARSHID ADAM-AMIR ZANDI MD 22558

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