MIKLES, AMY ALANE - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

MIKLES, AMY ALANE

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:	MERCY GUTHRIE DIVISION CLINIC 2919 S DIVISION STREET GUTHRIE OK 73044 Address last updated on 9/3/2024
Phone #:	(405) 282-6301
Fax #:
County:	LOGAN
License:	2929
Dated:	11/20/2018
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:
MERCY GUTHRIE DIVISION CLINIC 2919 S DIVISION STREET GUTHRIE OK 73044 Phone #: (405) 282-6301 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
KATHRYN MARIE KRAMER	MD	34074
JIGNESH JAYESHCHANDRA VERAGIWALA	MD	23499

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