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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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BAXTER, KAITLYN       
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: 8006 NW 39TH EXPY
BETHANY OK 73008

Address last updated on 4/3/2022
Phone #:
Fax #:
County: OKLAHOMA
License: 5604
Dated: 12/26/2018
Expires: 3/31/2023
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2024
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:
8006 NW 39TH EXPY
BETHANY OK 73008

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KASSIDY DIANE HARDEE TA 2575

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