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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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HORN, KIMBERLY ANN       
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: INTEGRIS JIM THORPE REHAB
4219 S WESTERN AVE
OKLAHOMA CITY OK 73109- 341

Address last updated on 11/19/2024
Phone #: (405) 830-3544
Fax #: (405) 644-5384
County: OKLAHOMA
License: 439
Dated: 9/24/1984
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:
INTEGRIS JIM THORPE REHAB
4219 S WESTERN AVE
OKLAHOMA CITY OK 73109- 341

Phone #: (405) 830-3544
Fax #: (405) 644-5384

Hospital Privileges:

Integrated Specialty Hospital-Edmond
Edmond, OK
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JAMES EDWARD APPLEBURY MD 42156
CHRISTINA COOK BARTON MD 39519
CHARLES EDWIN COTTLE II MD 34905
LOUIS HOWARD COX MD 15895
GARY DON SCHICK MD 21579
KRISTI GOODWIN SELF MD 18173
MICHAEL SHAWN SMITH MD 18758
JENNIFER SUN MD 44066
DAVID BRENT TIPTON MD 18762
Alan Tran DO 7611

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