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Oklahoma Board of Medical Licensure and Supervision

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KINNAMON, KIMBERLY MICHELLE       
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: 2313 W QUINCY ST
BROKEN ARROW OK 74012-6234
Phone #:
Fax #:
County: TULSA
License: 163
Dated: 5/25/1985
Expires: 10/31/1994
License Type: Occupational Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
2313 W QUINCY ST
BROKEN ARROW OK 74012-6234

Phone #:
Fax #:

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