GIBSON, KELLIE GAYLE - 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

GIBSON, KELLIE GAYLE

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:	BROKEN ARROW PHYSICAL THERAPY 3341 S ELM PL BROKEN ARROW OK 74429 Address last updated on 12/30/2016
Phone #:	(281) 733-0387
Fax #:
County:	TULSA
License:	4736
Dated:	5/10/2013
Expires:	1/31/2018
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2018

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:
BROKEN ARROW PHYSICAL THERAPY 3341 S ELM PL BROKEN ARROW OK 74429 Phone #: (281) 733-0387 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
ASHLEY LYNN CHAMBERS	TA	3786
ANDREA CLEMMER	TA	2499
TRINA LANELLE DAVISON	TA	2152
KAYLA SIMMONE GOING	TA	2611
KERRY JEAN LICHLYTER	TA	1490
CHARLES EDWARD RAY JR.	TA	2261
LORI ANN ROGERS	TA	2424
LAURA JEANNE ROLLINS	TA	893
KYLENA MAXINE TOWNSEND	TA	1539

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