KIDWELL, HEIDI JANE - 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

KIDWELL, HEIDI JANE

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:	SYNERGY / OKLAHOMA HEART HOSPITAL SOUTH 5200 W I-240 SERVICE ROAD OKLAHOMA CITY OK 73135 Address last updated on 10/30/2024
Phone #:	(405) 628-6296
Fax #:
County:	OKLAHOMA
License:	2512
Dated:	2/21/2024
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:
SYNERGY / OKLAHOMA HEART HOSPITAL SOUTH 5200 W I-240 SERVICE ROAD OKLAHOMA CITY OK 73135 Phone #: (405) 628-6296 Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
RACHEL ELIZABETH BRYANT	OT	2108
CYNTHIA EVA CESSANT	OT	1671
NATASHA LYNNE POTTER	OT	1663

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