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Next Update: Monday, December 23, 2024 12:00 PM CST
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KIENSTRA, ANDREW JOSEPH
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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.
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| Practice Address: |
6161 SOUTH YALE AVE
TULSA OK 74136
Address last updated on 8/22/2024 |
| Phone #: |
(330) 492-4559 x1761 |
| Fax #: |
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| County: |
TULSA |
| License: |
34133 |
| Dated: |
9/6/2018 |
| Expires: |
9/1/2025 |
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Temp.
Lic.
Issued:
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8/8/2018 |
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Temp.
Lic.
Expires:
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9/14/2018 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Southern Il Univ Sch Of Med, Springfield Il 62794 |
| Graduated: |
5 /
1996 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PEDIATRICS - Pediatric Emergency Medicine |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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