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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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KIENZLE, JOHN ALBERT
Practice Address: 1902 GORDON COOPER DR.
SHAWNEE OK 74802

Address last updated on 12/23/1999
Phone #:
Fax #:
County: POTTAWATOMIE
License: 7404
Dated: 6/4/1958
Expires: 6/1/2001
License Type: Medical Doctor
Specialty: General Surgery
General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1958
CME Year: 2001
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1902 GORDON COOPER DR.
SHAWNEE OK 74802

Phone #:
Fax #:

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