HUMMER, KATILYN OLIVIA - 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

HUMMER, KATILYN OLIVIA

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:	ASCENSION ST JOHN JANE PHILLIPS 3500 SE FRANK PHILLIPS BLVD BARTLESVILLE OK 74086 Address last updated on 10/20/2024
Phone #:	(918) 333-7200 x4266
Fax #:
County:	WASHINGTON
License:	1933
Dated:	11/1/2017
Expires:	10/31/2025
Temp. Ltr. Issued:	9/28/2017
Temp. Ltr. Expires:	11/2/2017
License Type:	Occupational Therapy Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
ASCENSION ST JOHN JANE PHILLIPS 3500 SE FRANK PHILLIPS BLVD BARTLESVILLE OK 74086 Phone #: (918) 333-7200 x4266 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
CARL RONALD MAUSISA QUIRONG	OT	1396

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