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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 30, 2024 4:03 AM CDT
Next Update: Tuesday, April 30, 2024 12:00 PM CDT

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BASDEN, KYLEA CAROLINE
Practice Address: ASCENSION MEDICAL GROUP
1923 S ULTICA AVE
TULSA OK 74104

Address last updated on 3/13/2024
Phone #: (918) 744-2362
Fax #:
County: TULSA
License: 5178
Dated: 12/21/2023
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:
ASCENSION MEDICAL GROUP
1923 S ULTICA AVE
TULSA OK 74104

Phone #: (918) 744-2362
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JARON JOSEPH SOULEK MD 31568

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