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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 5:09 PM CDT
Next Update: Wednesday, May 8, 2024 2:50 AM CDT

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OLIVO, KRISTY MARIE
Practice Address: 9800 BROADWAY EXTENSION SUITE 201
OKLAHOMA CITY OK 73114-6304

Address last updated on 2/8/2024
Phone #: (405) 424-5426
Fax #: (405) 424-5431
County: OKLAHOMA
License: 2648
Dated: 5/3/2016
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:
9800 BROADWAY EXTENSION SUITE 201
OKLAHOMA CITY OK 73114-6304

Phone #: (405) 424-5426
Fax #: (405) 424-5431

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
Northwest Surgical Hospital
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RORY C. DUNHAM DO 3659
PAUL JACOB DO 5494
JAMES CALVIN JOHNSON MD 15302
Faustino Mires Kazenske DO 5505
MAC EDWARD MOORE MD 23409
GERARDO MORALES MYRIN MD 33739
RYAN NELSON DO 4672
NATHANIEL MONNET ODOR MD 32402
SHERYL MCNIVEN SMITH MD 23961

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