MAXWELL-BROWN, KYLAH TANAE - Licensee Information

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Last Update: Wednesday, December 25, 2024 3:48 AM CST
Next Update: Wednesday, December 25, 2024 12:00 PM CST

MAXWELL-BROWN, KYLAH TANAE

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:	No Current Practice Address 7115 NW 150TH STREET SUITE 4 OKLAHOMA CITY OK 73142 Address last updated on 11/7/2024
Phone #:
Fax #:
County:	OKLAHOMA
License:	125730
Dated:	10/24/2023
Expires:	12/31/2025
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Licensed Under Compact Verify current information on PT Compact site
Restricted to:
CME Year:	0

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:
No Current Practice Address 7115 NW 150TH STREET SUITE 4 OKLAHOMA CITY OK 73142 Phone #: Fax #:

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