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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, KATHLEEN NADINE       
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: STEPHENSON CANCER CENTER
800 N.E. 10TH STREET
SUITE 2100
OKLAHOMA CITY OK 73104

Address last updated on 1/4/2024
Phone #: (405) 271-8707
Fax #: (405) 271-2976
County: OKLAHOMA
License: 23801
Dated: 3/10/2004
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Gynecological Oncology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduated: 6 / 2000
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 - Gynecologic Oncology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
SoonerCare HMO
SoonerCare PPO
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
STEPHENSON CANCER CENTER
800 N.E. 10TH STREET
SUITE 2100
OKLAHOMA CITY OK 73104

Phone #: (405) 271-8707
Fax #: (405) 271-2976
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KATHERINE BUCK APRN 89559
WHITNEY HUNTER APRN 93104
JENNIFER RIOS APRN 8372
JACLYN SHAVER APRN 79370
SHANTY VARUGHESE APRN 72132
DEBORAH WRIGHT APRN 89532

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