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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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STUBBINGS, KELSY DAWN       
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: 2560 E KENOSHA ST
BROKEN ARROW OK 74014

Address last updated on 8/6/2024
Phone #: (918) 994-7864 x1
Fax #:
County: WAGONER
License: 5838
Dated: 11/4/2020
Expires: 1/31/2025
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:
2560 E KENOSHA ST
BROKEN ARROW OK 74014

Phone #: (918) 994-7864 x1
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MICHAELYNNE BEAL TA 3773
CAILLEY QUINN BEAN TA 3608
BRISTEN NIKAIL BROWN TA 3361
LEISA J. BRUNS TA 199
TAYLOR CALDWELL TA 2637
KARIM MARTINO CANTO TA 3554
BAILEY LAINE CLARK TA 2938
ASHLEY MYRIAH DUDLEY TA 1973
CANDICE NICHOLE ERTMAN TA 1622
STEVAN WAYNE JAMESON TA 3765
MISTY DAWN MCMULLEN TA 1453
ASHLEY POULIN TA 2837
JAMIE LYNN STEIDLEY TA 1672
EMILY ANN TROUT TA 1442

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