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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 19, 2024 7:08 PM CDT
Next Update: Monday, May 20, 2024 2:50 AM CDT

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PETERSEN, KRISTY MICHELE       
Practice Address: ST. MARYS REGIONAL MEDICAL CENTER
305 S. 5TH STREET
ENID OK 73701

Address last updated on 6/20/2023
Phone #: (580) 233-6100
Fax #: (580) 213-2069
County: GARFIELD
License: 19458
Dated: 8/24/1995
Expires: 8/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1994
CME Year: 2024
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.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. Mary's Regional Medical Center
Enid, OK
Locations: Hours: Languages:
ST. MARYS REGIONAL MEDICAL CENTER
305 S. 5TH STREET
ENID OK 73701

Phone #: (580) 233-6100
Fax #: (580) 213-2069
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
FRANCES BILLINGS APRN 13904
JEANNE PEARSON APRN 116045

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