MANGELS, KYLE JOE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

MANGELS, KYLE JOE

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	6802 S OLYMPIA AVE SUITE 275 TULSA OK 74132-1848 Address last updated on 11/3/2022
Phone #:	(918) 600-0327
Fax #:	(918) 732-9229
County:	TULSA
License:	22694
Dated:	1/7/2002
Expires:	1/1/2026
License Type:	Medical Doctor
Specialty:	Neurological Surgery

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1996
CME Year:	2026

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 NEUROLOGICAL SURGERY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO CIGNA PPO HealthChoice Humana Medicare Advantage PPO Humana Tricare/PGBA United Healthcare Choice United Healthcare Options PPO
Hospital Privileges:	Ascension St. John Medical Center Tulsa, OK Hillcrest Medical Center Tulsa, OK Tulsa Spine & Specialty Hospital Tulsa, OK

Locations:	Hours:	Languages:
6802 S OLYMPIA AVE SUITE 275 TULSA OK 74132-1848 Phone #: (918) 600-0327 Fax #: (918) 732-9229	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 1:00PM Sat: Sun:
310 2nd Ave SW Suite 205 MIAMI, OK 74354 Phone #: (918) 600-0327 Fax #: (6) 200-	Mon: Tue: Wed: 8:00AM - 5:00PM every 2nd and 4th Wed of month Thu: Fri: Sat: Sun:
310 2nd Ave SW Suite 205 MIAMI, OK 74354 Phone #: (918) 600-0327 Fax #: (6) 200-	Mon: Tue: Wed: 8:00AM - 5:00PM We go every 3rd Wed of month Thu: Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
KRISTI ANNE KREBS	PA	1912

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