BRYANT, KELLIE RENAE - Licensee Information

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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

BRYANT, KELLIE RENAE

Practice Address:	PAWNEE INDIAN HEALTH CENTER 1201 HERITAGE CIRCLE PAWNEE OK 74058 Address last updated on 9/5/2023
Phone #:	(918) 762-6723
Fax #:
County:	PAWNEE
License:	202
Dated:	7/22/1993
Expires:	10/31/1994
Temp. Ltr. Issued:	1/8/1993
Temp. Ltr. Expires:	2/27/1993
License Type:	Provisional Dietitian
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:

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:
PAWNEE INDIAN HEALTH CENTER 1201 HERITAGE CIRCLE PAWNEE OK 74058 Phone #: (918) 762-6723 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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