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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT
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DAVIS, KIMBERLY ANN
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| Practice Address: |
NEUROLUMEN LLC
9636 N MAY AVE
OKLAHOMA CITY OK 73120
Address last updated on 8/11/2024 |
| Phone #: |
(405) 463-6525 x104 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
158 |
| Dated: |
12/23/1996 |
| Expires: |
8/31/2025 |
|
Temp.
Ltr.
Issued:
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9/16/2022 |
|
Temp.
Ltr.
Expires:
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3/16/2023 |
| License Type: |
Athletic Trainer |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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CARY LEE CARPENTER
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MD |
18237 |
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