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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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HOLLOWAY, MICHELLE M.       
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: 1000 N LEE
OKLAHOMA CITY OK 73101

Address last updated on 6/24/2024
Phone #: (405) 231-8753
Fax #:
County: OKLAHOMA
License: 18507
Dated: 7/1/1993
Expires: 7/1/2025
Temp. Lic. Issued: 7/23/1992
Temp. Lic. Expires: 7/1/1993
License Type: Medical Doctor
Specialty: Psychiatry
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: 6 / 1992
CME Year: 2027
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
1000 N LEE
OKLAHOMA CITY OK 73101

Phone #: (405) 231-8753
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
3917 E Memorial Rd
Edmond, OK 73013

Phone #: (405) 201-3535
Fax #: (1) 201-
Mon:
Tue: 2:00PM - 6:00PM
Wed:
Thu: 2:00PM - 6:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
POOJA BHAKTA PA 2944
KRISTIN MANUSINA COLTON PA 1817
LOUIS GUERRANT PA 3150
STEPHEN JOHNSTON PA 2500
RACHAEL TROMLEY APRN 77178

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