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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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KALCICH, MICHAEL VON       
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: OKLAHOMA UNIVERSITY MEDICAL CENTER
EMERGENCY DEPT
700 NE 13TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 5/10/2024
Phone #: (405) 271-4700
Fax #:
County: OKLAHOMA
License: 18986
Dated: 7/1/1994
Expires: 7/1/2025
Training Issued: 6/26/1993
Training Expires: 10/1/1994
License Type: Medical Doctor
Specialty: Emergency Medicine
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: 5 / 1993
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: AMERICAN BOARD OF EMERGENCY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
,
OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
Locations: Hours: Languages:
OKLAHOMA UNIVERSITY MEDICAL CENTER
EMERGENCY DEPT
700 NE 13TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4700
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RILEY JOY BANE PA 5344
WADE MICHAEL BITTLE PA 1681
JACOB DUANE BOYD PA 5327
KEVIN MICHAEL CHESSMORE PA 1576
ANGELA HLADIK APRN 102261
KALLIE BLYTHE HUMPHREYS PA 2188
LANCE OONNOONNY JOHNSON PA 5024
TIM MICHAEL LAING PA 792
SARA MCDADE APRN 75023
NICHOLAS CARTER ORMSBY PA 5325
BRET REID OWEN PA 819
KAY BETH ROCHESTER PA 2081
CAROLINE SCHUEPBACH APRN 14844
GRACE ELIZABETH SCORSONE PA 5350
NATASHA NICOLE SIMONSON PA 2578
CAROLINE MENZIES SITTON PA 1956
LEE VUONG PA 5364

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