CHEBAHTAH, KELLY JEANNE - 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

CHEBAHTAH, KELLY JEANNE

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:	KOWETA INDIAN HEALTH FACILITY 31870 EAST HIGHWAY 51 PO BOX 900 COWETA OK 74429 Address last updated on 12/2/2024
Phone #:	(918) 279-3450
Fax #:	(918) 279-1111
County:	WAGONER
License:	1350
Dated:	9/24/2004
Expires:	1/31/2026
Temp. Ltr. Issued:	9/16/2004
Temp. Ltr. Expires:	11/6/2004
License Type:	Physical Therapist Assistant
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:
KOWETA INDIAN HEALTH FACILITY 31870 EAST HIGHWAY 51 PO BOX 900 COWETA OK 74429 Phone #: (918) 279-3450 Fax #: (918) 279-1111

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
DELANA DENISE WESTMAN	PT	3031

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