WALKER, MELISSA ANN - Licensee Information

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

WALKER, MELISSA ANN

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:	PSYCH PLUS 1145 W I 240 SERVICE RD STE F100 OKLAHOMA CITY OK 73139 Address last updated on 12/2/2024
Phone #:	(405) 259-2233
Fax #:
County:	OKLAHOMA
License:	2921
Dated:	6/21/2018
Expires:	3/31/2025
Temp. Ltr. Issued:	5/29/2018
Temp. Ltr. Expires:	9/13/2018
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:
PSYCH PLUS 1145 W I 240 SERVICE RD STE F100 OKLAHOMA CITY OK 73139 Phone #: (405) 259-2233 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
FADALIA DARLENE KIM	MD	27133
RICKY GRAY SWAIM	MD	26151

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