KATZENBERGER, MELISSA ANN - Licensee Information

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

KATZENBERGER, MELISSA ANN

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	MERCY CLINIC ORTHOPEDIC ASSOCIATES 3301 NW 50TH STREET SUITE 100 OKC OK 73112 Address last updated on 8/6/2024
Phone #:	(405) 947-0911
Fax #:
County:	OKLAHOMA
License:	833
Dated:	9/4/2014
Expires:	8/31/2025
Temp. Ltr. Issued:	7/17/2014
Temp. Ltr. Expires:	9/19/2014
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
MERCY CLINIC ORTHOPEDIC ASSOCIATES 3301 NW 50TH STREET SUITE 100 OKC OK 73112 Phone #: (405) 947-0911 Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
STEVEN PAUL BRANTLEY	MD	28487
VAL GENE IVEN	MD	17462
Jason R. Moore	DO	6450

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