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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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KINZIE, ELIZABETH ROMANIK       
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: WAYNOKA FAMILY CLINIC- INTEGRIS
1084 NICKERSON ST
WAYNOKA OK 73860

Address last updated on 2/3/2023
Phone #: (580) 824-2281
Fax #:
County: WOODS
License: 25482
Dated: 3/15/2007
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: MI STATE UNIV COLL HUMAN MED, EAST LANSING MI 48824
Graduated: 5 / 1997
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
12/10/2024 Completed all requirements ordered by the Board
3/7/2024 Voluntary Submittal to Jurisdiction
7/12/2023 Complaint Citation
Board Filings and/or Orders:
03/07/2024
08/21/2023
07/12/2023
07/12/2023
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: CCN Managed Care
Global Health HMO
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
Railroad Medicare
SoonerCare HMO
Tricare for Life
Tricare Standard
Hospital Privileges: INTEGRIS Bass Baptist Health Center
Enid, OK
Locations: Hours: Languages:
WAYNOKA FAMILY CLINIC- INTEGRIS
1084 NICKERSON ST
WAYNOKA OK 73860

Phone #: (580) 824-2281
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 7:30AM - 4:00PM
Wed: 8:00AM - 5:00PM
Thu: 7:30AM - 4:00PM
Fri:
Sat:
Sun:
Lara Clinic
2807 North Walker Ave Ste 3
Oklahoma City, OK 73103

Phone #: (405) 436-1890
Fax #: (8) 202-
Mon:
Tue:
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600 S Monroe St
Integris Bass Hospital
Enid, OK 73701

Phone #: (580) 233-2300
Fax #: (5) 202-
Mon:
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Wheeler MedSpa
1723 Spoke St
Oklahoma City, OK 73108

Phone #: (405) 464-1655
Fax #: (8) 202-
Mon:
Tue:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ADRIENNE JANTZ APRN 6107
LESLIE ACACIA REAP PA 2961
CHARLENE ELAINE ARNOLD REUST PA 2549
KRYSTABEL SNODGRASS APRN 92246
KATRINA CLAIBORNE STEWART PA 2317

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