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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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DENNIS, DUSTY KIRK       
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: KINETIC THERAPY SERVICE
15269 CR 3610
ADA OK 74820

Address last updated on 12/1/2024
Phone #: (580) 332-3353
Fax #: (580) 332-3053
County: PONTOTOC
License: 2326
Dated: 4/3/1995
Expires: 1/31/2026
Temp. Ltr. Issued: 12/29/1994
Temp. Ltr. Expires: 7/15/1995
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:
KINETIC THERAPY SERVICE
15269 CR 3610
ADA OK 74820

Phone #: (580) 332-3353
Fax #: (580) 332-3053
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ALLISON MARIE ADAIR TA 3498
DANNETTE ANDREWS TA 2572
LESLI BROOKE BARRETT TA 1516
SHANNON LEE BRAUDWAY TA 1151
MEGAN NICHOLE BURNETT TA 1633
BRITTANY HOPE CARTER TA 3384
DIANE ALIENE CASTRO TA 1163
PAUL THOMAS DAMERON TA 753
CARLA SUE DOUGLAS TA 740
STACY RENEE-BERRY HERRON TA 867
PATRICIA JO ANNE HOKETT TA 1295
MESHELL NICCOLE JOHNSON-KENNEDY TA 1808
DOROTHEA INGE KERNS TA 1628
VICTORIA BREANNE MORRISON TA 3072
WHITNEY ANNE NALL TA 2578
KEISHA JUANELL NELSON TA 1750
JODY WAYNE NEWBERRY TA 2334
MANDY FAYE NUTTER TA 2585
JACOB CHRISTOPHER NUTTER TA 1430
NATHANIEL WAYNE ODUM TA 2088
MORGAN DEANN PHILLIPS TA 2857
MARY CHRISTINE SEATON TA 1719
JENNIFER LEANN SELBY TA 1390
JADE ONEAL STAGGS TA 3319
CYNTHIA IRENE WALKER TA 1348
LACEY DYAN WOFFORD TA 1526
ANGELA MARIE WOFFORD TA 2567

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