CALDWELL, JUSTIN KYLE - 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

CALDWELL, JUSTIN KYLE

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:	THE PHYSICIANS HOSPITAL IN ANADARKO 1002 E. CENTRAL BLVD ANADARKO OK 73005 Address last updated on 11/1/2024
Phone #:	(405) 247-0527
Fax #:	(405) 247-8258
County:	CADDO
License:	4011
Dated:	8/9/2007
Expires:	1/31/2025
Temp. Ltr. Issued:	5/31/2007
Temp. Ltr. Expires:	9/22/2007
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:
THE PHYSICIANS HOSPITAL IN ANADARKO 1002 E. CENTRAL BLVD ANADARKO OK 73005 Phone #: (405) 247-0527 Fax #: (405) 247-8258

Name:	Type:	License Number:
Primary Supervisees(s):
CHRISTY K LATULIP	TA	1731
TORI DANIELLE PARRISH	TA	2525

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