NIDA, HALEY PATZ - 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

NIDA, HALEY PATZ

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:	KIOWA DISTRICT HOSPITAL 1002 SOUTH 4TH STREET PO BOX 184 KIOWA KS 67070-4753 Address last updated on 1/28/2024
Phone #:	(620) 825-4131 x1071
Fax #:	(620) 825-4753
County:	NOT OKLAHOMA
License:	4878
Dated:	4/30/2015
Expires:	1/31/2025
Temp. Ltr. Issued:	3/13/2015
Temp. Ltr. Expires:	5/15/2015
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:
KIOWA DISTRICT HOSPITAL 1002 SOUTH 4TH STREET PO BOX 184 KIOWA KS 67070-4753 Phone #: (620) 825-4131 x1071 Fax #: (620) 825-4753

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