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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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KALLENBERGER, DAVID ALAN       
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: 3433 NW 56TH
#210
OKLAHOMA CITY OK 73112-4429

Address last updated on 4/12/2024
Phone #: (405) 945-4701
Fax #: (405) 945-4728
County: OKLAHOMA
License: 10881
Dated: 6/30/1976
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
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: / 1975
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.
Certifications: AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
HealthChoice
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Prudential Health Care Plan, Inc
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
3433 NW 56TH
#210
OKLAHOMA CITY OK 73112-4429

Phone #: (405) 945-4701
Fax #: (405) 945-4728
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:

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