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KIM, JAESUNG 
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| Practice Address: |
1145 S. UTICA AVENUE SUITE 110
TULSA OK 74104
Address last updated on 8/30/2020 |
| Phone #: |
(251) 753-7072 |
| Fax #: |
|
| County: |
TULSA |
| License: |
33238 |
| Dated: |
8/25/2017 |
| Expires: |
9/1/2021 |
|
Temp.
Lic.
Issued:
|
8/25/2017 |
|
Temp.
Lic.
Expires:
|
11/3/2017 |
| License Type: |
Medical Doctor |
| Specialty: |
Neurology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Korea Univ Coll Of Med, Chong-No-Ku, Seoul, So Korea |
| Graduated: |
2 /
2009 |
| CME Year: |
2023 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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