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Next Update: Thursday, December 19, 2024 2:50 AM CST
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MACDONNELL, MICHELE JONETTE MOYER
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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.
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| Practice Address: |
KARMAN LEGACY HOSPICE
1311 S WESTERN ROAD
STILLWATER OK 74074
Address last updated on 7/29/2024 |
| Phone #: |
(405) 377-8012 |
| Fax #: |
(405) 624-9007 |
| County: |
PAYNE |
| License: |
18632 |
| Dated: |
8/24/1993 |
| Expires: |
8/1/2025 |
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Temp.
Lic.
Issued:
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7/2/1992 |
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Temp.
Lic.
Expires:
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6/30/1993 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
1992 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice |
| Hospital Privileges: |
Stillwater Medical Center
Stillwater, OK
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