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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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HUYNH, KATHY       
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: SOUTHSIDE DERMATOLOGY
3300 SOUTH ASPEN AVE SUITE A
BROKEN ARROW OK 74012

Address last updated on 2/25/2024
Phone #: (918) 770-4599
Fax #:
County: OKLAHOMA
License: 3066
Dated: 8/20/2019
Expires: 3/31/2025
Temp. Ltr. Issued: 8/8/2019
Temp. Ltr. Expires: 9/12/2019
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:
SOUTHSIDE DERMATOLOGY
3300 SOUTH ASPEN AVE SUITE A
BROKEN ARROW OK 74012

Phone #: (918) 770-4599
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ALISON ANN FISCHER MD 27303

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