WYATT, KRISTY ANNE - 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

WYATT, KRISTY ANNE

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:	ASCENSION ST JOHN MEDICAL CENTER 1923 S UTICA AVE TULSA OK 74104 Address last updated on 2/8/2024
Phone #:	(918) 744-2476
Fax #:
County:	TULSA
License:	4338
Dated:	8/3/2010
Expires:	1/31/2025
Temp. Ltr. Issued:	5/29/2010
Temp. Ltr. Expires:	9/16/2010
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:
ASCENSION ST JOHN MEDICAL CENTER 1923 S UTICA AVE TULSA OK 74104 Phone #: (918) 744-2476 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
STACY A AVERY	TA	2588
WILLIAM GERALD BELLER	TA	2644

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