Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

Return to Search Licensees page

SUN, JENNIFER       
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 SOUTHWEST REHABILITATION
4219 S. WESTERN AVE.
OKLAHOMA CITY OK 73109

Address last updated on 8/15/2024
Phone #: (405) 644-5256
Fax #: (405) 636-7946
County: OKLAHOMA
License: 44066
Dated: 7/12/2024
Expires: 7/1/2025
Temp. Lic. Issued: 7/3/2024
Temp. Lic. Expires: 9/19/2024
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 5 / 2018
CME Year: 2027
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.
Certifications: AMERICAN BOARD OF PHYSICAL MEDICINE/REHABILITATION
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
INTEGRIS SOUTHWEST REHABILITATION
4219 S. WESTERN AVE.
OKLAHOMA CITY OK 73109

Phone #: (405) 644-5256
Fax #: (405) 636-7946
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KIMBERLY ANN HORN PA 439
SAVANNAH SANDERS PA 4887
TRACY ANN TROYER PA 5104

Return to Search Licensees page