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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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TATE, KEVIN LEE       
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: GENESIS HOME HEALTH
625 W BROADWAY
YALE OK 74085

Address last updated on 1/8/2024
Phone #: (918) 387-2233
Fax #: (888) 851-6045
County: PAYNE
License: 1977
Dated: 9/14/1992
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:
GENESIS HOME HEALTH
625 W BROADWAY
YALE OK 74085

Phone #: (918) 387-2233
Fax #: (888) 851-6045
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JUANITA JEAN COX TA 81
TERESA MARIE JACKSON TA 1537
TIFFANY RENEE MORRIS TA 1673
JENNIFER J. PETERSEN TA 409

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