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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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KOLLER, KARYN       
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: OU MEDICAL CENTER
700 NE 13TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 3/3/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 31103
Dated: 4/13/2015
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: St George's Univ, Sch Of Med, St George's, Grenada
Graduated: 3 / 2011
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
Locations: Hours: Languages:
OU MEDICAL CENTER
700 NE 13TH STREET
OKLAHOMA CITY OK 73104

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Fax #:
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4300 W Memorial Rd
Oklahoma City, OK 73120

Phone #: (405) 755-1515
Fax #: (7) 201-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
WADE MICHAEL BITTLE PA 1681
JACOB C. BROWN PA 2738
JESSICA CHONLAHAN PA 1944
TRENT EVAN FLAMING PA 1980
TRACYE FOWLER APRN 89619
JOHNNIE GILPEN JR PA 3116
JESSICA MURPHY MCKEE PA 4663
EMILY JEAN RITER PA 2758

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