PEET, MCKENZIE CHRISTINE - Licensee Information

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

PEET, MCKENZIE CHRISTINE

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:	UTICA PARK CLINIC - UROLOGY 1145 S UTICA AVE SUITE 701 TULSA OK 74104 Address last updated on 2/6/2024
Phone #:	(918) 582-6544
Fax #:
County:	TULSA
License:	4703
Dated:	12/13/2021
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:
UTICA PARK CLINIC - UROLOGY 1145 S UTICA AVE SUITE 701 TULSA OK 74104 Phone #: (918) 582-6544 Fax #:

Hospital Privileges:

Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK

Name:	Type:	License Number:
Primary Supervisor(s):
PAUL GUY HAGOOD	MD	18856
DAE YUN KIM	MD	31577

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