LOVING, KYLAH CHEYENNE - 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

LOVING, KYLAH CHEYENNE

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:	SWEET HOME THERAPY 720 SWEET HOME RD BROKEN BOW OK 74728 Address last updated on 9/27/2024
Phone #:
Fax #:
County:	MCCURTAIN
License:	2072
Dated:	1/29/2019
Expires:	10/31/2025
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:
SWEET HOME THERAPY 720 SWEET HOME RD BROKEN BOW OK 74728 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
BRENAE MCKENZIE TIDWELL	OT	5689
LESLIE KAY WHALEN	OT	1770

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