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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 1:13 PM CST
Next Update: Sunday, December 22, 2024 4:30 PM CST

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WALENZ, KATHRYN       
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: SAINT ANTHONY
1039 N WALKER AVE
OKLAHOMA CITY OK 73102

Address last updated on 11/21/2024
Phone #: (405) 272-7000
Fax #:
County: OKLAHOMA
License: 2588
Dated: 12/1/2015
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:
SAINT ANTHONY
1039 N WALKER AVE
OKLAHOMA CITY OK 73102

Phone #: (405) 272-7000
Fax #:

Hospital Privileges:

SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
St. Anthony Healthplex - East Campus (I-40 & Douglas)
Oklahoma City, OK
St. Anthony Healthplex - South Campus (I-44 & SW 134th St)
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHAD BORIN DO 3746
RONALD M CABLE JR DO 3449
CARLOS CABRERA DO 5196
CONRAD C CALDWELL III MD 22805
KEITH KURT FISCHBORN MD 27723
AFSANEH FOROOZAN DO 3094
SERGIO GREG GARCIA MD 28909
TERRY CHARLES HERMANCE MD 25607
JESSICA DAWN HILDEBRAND MD 24769
Eric Francis Hofmeister DO 5504
ERIN POWERS KINNEY DO 540
JULIE LEWIS DO 5247
RYAN LYNCH DO 5406
ERIC AVERY REDDICK MD 27847
ORSON PABUSTAN RODRIGUEZ MD 23389
SCOTT EDWIN ROGERS MD 27262
DANIELLE LEILANI RUSSELL DO 5275
PHILIP LEON SLOAN MD 28808
JAY JOSHUA SNELL MD 26502
STEPHEN KOJI SPARKS DO 4559
TARA D. STEWART DO 5252
MARY H THOMPSON MD 15367

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