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Oklahoma Board of Medical Licensure and Supervision

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

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REUST, CHARLENE ELAINE ARNOLD       
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: INTEGRIS WAYNOKA FAMILY CLINIC
1084 NICKERSON STREET
WAYNOKA OK 73860

Address last updated on 3/12/2024
Phone #: (580) 824-2281
Fax #: (580) 824-0429
County: WOODS
License: 2549
Dated: 10/23/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 9/16/2015
Temp. Ltr. Expires: 11/6/2015
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:
INTEGRIS WAYNOKA FAMILY CLINIC
1084 NICKERSON STREET
WAYNOKA OK 73860

Phone #: (580) 824-2281
Fax #: (580) 824-0429

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ELIZABETH ROMANIK KINZIE MD 25482
JON MILLS JR DO 5047
Ahmed Salous DO 6882

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