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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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BUNN, RANDOLPH DAVIS       
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: 10301 SOUTH 69TH EAST AVENUE
TULSA OK 74133

Address last updated on 12/22/2023
Phone #: (918) 378-4704
Fax #:
County: TULSA
License: 993
Dated: 1/12/1982
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:
10301 SOUTH 69TH EAST AVENUE
TULSA OK 74133

Phone #: (918) 378-4704
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHLEY DAWN AICH TA 2634
MARY GWENDOLYN ANN ALDRICH TA 1164
JOEY ANDERSON TA 2173
SUNNY MARIE BAUTISTA TA 1861
AMY DAWN BROWN TA 1555
JOSHUA ANTHONY BUTTON TA 2126
ETHAN DAVID CANTRELL TA 2645
JOHN-MICHAEL DEAN CARTWRIGHT TA 3293
ROBIN SUE COUNCIL TA 1656
JOHANNA ALENE CUMMINGS TA 1077
NANCY LYNN DAVIS TA 817
JENNIFER HALL TA 3020
KRYSTAL LANETTE HARRISON TA 1558
DEBORAH DIANE HILDEBRAND TA 818
ALEXIS DAWN JACKSON TA 2766
NANCY LYNN KEIGLEY TA 555
KRIS ALLEN LEDFORD TA 3083
KEVIN JEROME LEWIS TA 1935
LINDSEY MARIE MILLER TA 1559
KAILY N MITCHELL TA 2935
DIANA LYNN NEDLOSE TA 107
LORISA NESTERENKO TA 2534
CARLA RUTH PACE TA 15
REGENA KAY RECORD TA 132
JENNIFER JO ROLLAND TA 1378
AMY KATHLEEN RUNYON-HERRON TA 2116
DARELYN LEE SALVATORI TA 146
JOANDRA CAROL SHELLEY TA 768
LESLIE DIANNE STEYER TA 2775
KERI DAWN VANDERPOOL TA 583
BRIDGET ANN VIRDEN TA 155
HUNTER MCKINLEY WEBB TA 3076
KRYSTLE MARIE WILLIAMS TA 2300

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