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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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BRUNSTETER, KELLY SHANNON
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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.
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| Practice Address: |
SELF EMPLOYED. - CONTRACT OTR CERT LYMPH (CLT)
11200 AUTUMN RD
EDMOND OK 73013
Address last updated on 10/1/2024 |
| Phone #: |
(405) 315-1407 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
466 |
| Dated: |
10/5/1991 |
| Expires: |
10/31/2025 |
| License Type: |
Occupational Therapist |
| Specialty: |
Hand Rehabilitation (OT/OA only)
Home and Community Health (OT/OA only)
Acute Care (OT/OA only)
Lymphedema (OT/OA only) |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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