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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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BALOCCA, KASSANDRE SUE       
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 HEART INSTITUTE
1265 S. UTICA
TULSA OK 74104

Address last updated on 3/5/2024
Phone #: (918) 592-0999
Fax #:
County: TULSA
License: 2313
Dated: 1/10/2014
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
OKLAHOMA HEART INSTITUTE
1265 S. UTICA
TULSA OK 74104

Phone #: (918) 592-0999
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
FRANK JOHN GAFFNEY MD 23819
ANTHONY WADE HANEY MD 27338
ALAN MITSUO KANESHIGE MD 19332
DAVID ABRAHAM SANDLER MD 23358
STANLEY KYLE ZIMMERMAN MD 28995

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