MARTIN, KATHLEEN DEANNE - 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

MARTIN, KATHLEEN DEANNE

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:	ARBUCKLE MEMORIAL HOSPITAL 2011 W BROADWAY AVE SULPHUR OK 73086 Address last updated on 12/6/2024
Phone #:	(580) 622-8257
Fax #:
County:	MURRAY
License:	4386
Dated:	8/20/2010
Expires:	1/31/2025
Temp. Ltr. Issued:	7/30/2010
Temp. Ltr. Expires:	9/17/2010
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:
ARBUCKLE MEMORIAL HOSPITAL 2011 W BROADWAY AVE SULPHUR OK 73086 Phone #: (580) 622-8257 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
BRALEY RAE CLAXTON	TA	3864
JODIE GAYLE CLEMONS	TA	741
JOY EDNA CROWDER	TA	3012
JAKE PRESTON CUNNINGHAM	TA	3628
CHAREE' RENE' LOGSDON	TA	1190
MICHAEL QUINTON ROLLER	TA	2091

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