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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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SUTTON, KIM RAE       
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: PHOENIX REHAB
1021 CHARLES PAGE BLVD
TULSA OK 74127

Address last updated on 1/29/2024
Phone #: (918) 585-5109
Fax #:
County: TULSA
License: 2688
Dated: 11/4/1997
Expires: 1/31/2025
Temp. Ltr. Issued: 6/19/1997
Temp. Ltr. Expires: 11/22/1997
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:
PHOENIX REHAB
1021 CHARLES PAGE BLVD
TULSA OK 74127

Phone #: (918) 585-5109
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LINDA LEE CRANFIELD TA 2274
BARBARA LYNN DREW TA 2251
VICKI LYNN KOCHENOWER TA 692
MATHEW R LANE TA 2530
STEPHANY LEANN LITTLEJOHN TA 1266
ANDREW SCOTT LITTLEJOHN TA 1509
ALEXANDER PRICE TA 2973
CHASSITY AUTUMN RUBERT TA 921
MARY ALICE WHITE TA 113

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