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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MOORE, KELLY ROBERTA       
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: UNIV OF COLORADO DENVER SCHOOL OF PUBLIC HEALTH
CENTERS FOR AMERICAN INDIAN & ALASKA NATIVE HEALTH
MAIL STOP F800 13055 EAST 17TH AVENUE
AURORA CO 80045

Address last updated on 5/17/2017
Phone #: (303) 724-1445
Fax #: (303) 724-1474
County: NOT OKLAHOMA
License: 14832
Dated: 6/30/1984
Expires: 6/1/2018
License Type: Medical Doctor
Specialty: Pediatrics
General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1983
CME Year: 2019
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 PEDIATRICS
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UNIV OF COLORADO DENVER SCHOOL OF PUBLIC HEALTH
CENTERS FOR AMERICAN INDIAN & ALASKA NATIVE HEALTH
MAIL STOP F800 13055 EAST 17TH AVENUE
AURORA CO 80045

Phone #: (303) 724-1445
Fax #: (303) 724-1474
Mon:
Tue: 9:00AM - 5:00PM TRAVEL FREQUENTLY
Wed: 9:00AM - 5:00PM OFTEN OUT OF OFFICE
Thu: 9:00AM - 5:00PM OFTEN OUT OF OFFICE
Fri:
Sat:
Sun:

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