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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 4:07 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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WERTZBERGER, KYLE REID
Practice Address: ASCENSION ST JOHN MEDICAL CENTER
1923 S UTICA AVE
TULSA OK 74104

Address last updated on 4/9/2024
Phone #: (918) 712-3366
Fax #:
County: TULSA
License: 2326
Dated: 2/3/2014
Expires: 3/31/2025
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:
ASCENSION ST JOHN MEDICAL CENTER
1923 S UTICA AVE
TULSA OK 74104

Phone #: (918) 712-3366
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARK JOSEPH BALDECK MD 28100
Kari Hopfer DO 6676
LARRY MATHIAS DO 7571
KELLY KAZUAKI NAGASAWA MD 34715
JAMES HARRISON NEEL MD 25871
JESSICA WEBER DO 4585

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