KINZIE, ELIZABETH ROMANIK - Licensee Information

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Last Update: Sunday, April 28, 2024 6:57 PM CDT
Next Update: Monday, April 29, 2024 2:50 AM CDT

KINZIE, ELIZABETH ROMANIK

Practice Address:	WAYNOKA FAMILY CLINIC- INTEGRIS 1084 NICKERSON ST WAYNOKA OK 73860 Address last updated on 2/3/2023
Phone #:	(580) 824-2281
Fax #:
County:	WOODS
License:	25482
Dated:	3/15/2007
Expires:	3/1/2025
License Type:	Medical Doctor
Specialty:	Internal Medicine Psychiatry

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	MI STATE UNIV COLL HUMAN MED, EAST LANSING MI 48824
Graduated:	5 / 1997
CME Year:	2025

Pending and/or Past Disciplinary Actions:

Date

Action

Reasons

Remarks

3/7/2024

Voluntary Submittal to Jurisdiction

7/12/2023

Complaint Citation

Board Filings and/or Orders:
03/07/2024
08/21/2023
07/12/2023
07/12/2023

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	CCN Managed Care Global Health HMO Humana Tricare/PGBA OSMA Health (formerly Plico PPO) Railroad Medicare SoonerCare HMO Tricare for Life Tricare Standard
Hospital Privileges:	INTEGRIS Bass Baptist Health Center Enid, OK

Locations:	Hours:	Languages:
WAYNOKA FAMILY CLINIC- INTEGRIS 1084 NICKERSON ST WAYNOKA OK 73860 Phone #: (580) 824-2281 Fax #:	Mon: 8:00AM - 5:00PM Tue: 7:30AM - 4:00PM Wed: 8:00AM - 5:00PM Thu: 7:30AM - 4:00PM Fri: Sat: Sun:
Lara Clinic 2807 North Walker Ave Ste 3 oklahoma city, OK 73103 Phone #: (405) 436-1890 Fax #: (8) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
600 S Monroe St Integris Bass Hospital Enid, OK 73701 Phone #: (580) 233-2300 Fax #: (5) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Wheeler MedSpa 1723 Spoke St Oklahoma City, OK 73108 Phone #: (405) 464-1655 Fax #: (8) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
ADRIENNE JANTZ	APRN	6107
LESLIE ACACIA REAP	PA	2961
CHARLENE ELAINE ARNOLD REUST	PA	2549
KRYSTABEL SNODGRASS	APRN	92246