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Oklahoma Board of Medical Licensure and Supervision

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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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CARTER, MARY KAY       
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: TULSA VA OUTPATIENT CLINIC
8921 SOUTH MINGO ROAD
TULSA OK 74133

Address last updated on 12/13/2024
Phone #: (918) 252-8000 x2994
Fax #:
County: TULSA
License: 1586
Dated: 1/11/1992
Expires: 1/31/2026
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:
TULSA VA OUTPATIENT CLINIC
8921 SOUTH MINGO ROAD
TULSA OK 74133

Phone #: (918) 252-8000 x2994
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JAMES HEROLD MOORE TA 262
KRISTINA DIANN MOSTELLER TA 425
JOHNSON LOUIS PARACKAL TA 1535

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