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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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BITTLE, KIMBERLY LOUISE       
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: VARIETY CARE
1025 STRAKA TERRACE
OKLAHOMA CITY OK 73139
Address last updated on 11/11/2024
Phone #: (405) 632-6688
Fax #:
County: OKLAHOMA
License: 3106
Dated: 11/7/2019
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
VARIETY CARE
1025 STRAKA TERRACE
OKLAHOMA CITY OK 73139
Phone #: (405) 632-6688
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Jacob Lynn Fisher DO 6163
SUMMER ZAHRA JATALA MD 28513

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