Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

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

Address last updated on 12/12/2024
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

Return to Search Licensees page