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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 4:03 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT

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KRAKER, ALLYSON PAIGE
Practice Address: THE BROADWAY CLINIC
1801 N BROADWAY AVENUE
OKLAHOMA CITY OK 73103

Address last updated on 3/25/2024
Phone #: (405) 528-1936
Fax #: (405) 521-8260
County: OKLAHOMA
License: 1267
Dated: 4/1/2003
Expires: 3/31/2025
Temp. Ltr. Issued: 2/6/2003
Temp. Ltr. Expires: 3/29/2003
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:
THE BROADWAY CLINIC
1801 N BROADWAY AVENUE
OKLAHOMA CITY OK 73103

Phone #: (405) 528-1936
Fax #: (405) 521-8260

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MATTHEW JAMES HAAG MD 22701
STEVEN MARK ROSS MD 33718

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