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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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JUENGEL, KACI BROOKE       
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 EAR NOSE AND THROAT
2017 W I-35 FRONTAGE RD STE 140
EDMOND OK 73013

Address last updated on 6/11/2024
Phone #: (405) 757-3710
Fax #:
County: OKLAHOMA
License: 2985
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 EAR NOSE AND THROAT
2017 W I-35 FRONTAGE RD STE 140
EDMOND OK 73013

Phone #: (405) 757-3710
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN WILLIS ANDERSON MD 22495
JIMMY LYN ARGO MD 28668
STEVEN PAUL BRANTLEY MD 28487
THADDEUS ALAN CARNINE MD 22939
RANDEL DEAN ESTEP DO 3568
GREG EDWARD HALKO MD 24394
Faustino Mires Kazenske DO 5505
MICHAEL EDWIN KIEHN MD 23364
DAVID BENJAMIN PARKER MD 34707
RICHARD ANTHONY RUFFIN MD 17818

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