KIRBY, CHERYL CATHLEEN - Licensee Information

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

KIRBY, CHERYL CATHLEEN

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:	MERCY CLINIC ENDOCRINOLOGY 4345 W. MEMORIAL #110 OKLAHOMA CITY OK 73134 Address last updated on 3/29/2024
Phone #:	(405) 951-4160
Fax #:	(405) 951-4162
County:	OKLAHOMA
License:	875
Dated:	4/1/1998
Expires:	3/31/2025
Temp. Ltr. Issued:	8/7/1997
Temp. Ltr. Expires:	8/7/1998
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:
MERCY CLINIC ENDOCRINOLOGY 4345 W. MEMORIAL #110 OKLAHOMA CITY OK 73134 Phone #: (405) 951-4160 Fax #: (405) 951-4162

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
MUNEER AHMAD KHAN	MD	27320
Christian Mangrum	DO	5773
ROGER ENOS SMITH JR	MD	28098

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