FIMPLE, KALLAN ELAINE - 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

FIMPLE, KALLAN ELAINE

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:	STILLWATER MEDICAL CENTER 1323 WEST 6TH AVENUE STILLWATER OK 74074 Address last updated on 5/13/2024
Phone #:
Fax #:
County:	PAYNE
License:	6448
Dated:	9/1/2023
Expires:	1/31/2025
Temp. Ltr. Issued:	8/2/2023
Temp. Ltr. Expires:	9/14/2023
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:
STILLWATER MEDICAL CENTER 1323 WEST 6TH AVENUE STILLWATER OK 74074 Phone #: Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
TREY RATZLAFF	TA	627

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