WATERS, KENNETH WAYNE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

WATERS, KENNETH WAYNE

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:	ST FRANCIS @ BROKEN ARROW 2950 SOUTH ELM SUITE 230 BROKEN ARROW OK 74012-7816 Address last updated on 11/15/2024
Phone #:	(918) 451-5143
Fax #:
County:	TULSA
License:	1396
Dated:	10/7/1986
Expires:	1/31/2025
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
ST FRANCIS @ BROKEN ARROW 2950 SOUTH ELM SUITE 230 BROKEN ARROW OK 74012-7816 Phone #: (918) 451-5143 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
ALLISON ELIZABETH ALEXANDER	TA	2783
ALEXANDRIA GRACE ARJAY	TA	3086
LAUREN NICOLE BROWN	TA	3839
JESSE BENJAMIN CARPER	TA	2302
BRANDON WAYNE FOSTER	TA	1833
SARAH ANN FRY-EPPERSON	TA	1738
LEVI KRISTOPHER JIMENEZ	TA	2920
RICHARD BRIAN ORTERY	TA	1369
AMANDA NICOLE PEREZ	TA	2797
ANNEMARIE SMITH	TA	3785
BRIANNA LEA THOMPSON	TA	3519
SARAH AMANDA ZIEGLER	TA	2069

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