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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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NAGASAWA, KELLY KAZUAKI
Practice Address: 1923 S UTICA AVE 5TH FLOOR
TULSA OK 74104

Address last updated on 4/13/2024
Phone #: (918) 403-7054
Fax #:
County: TULSA
License: 34715
Dated: 5/14/2019
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Cardiothoracic Surgery
Surgical Oncology
SURGERY, THORACIC
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF HI J A BURNS SCH MED, HONOLULU HI 96822
Graduated: 5 / 2006
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.
Certifications: AMERICAN BOARD OF THORACIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
1923 S UTICA AVE 5TH FLOOR
TULSA OK 74104

Phone #: (918) 403-7054
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
VICKI LEIST APRN 83523
KYLE REID WERTZBERGER PA 2326

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