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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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FULTON, MACEY 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: 13601 MEMORIAL PARK DRIVE
SUITE 200
OKLAHOMA CITY OK 73120

Address last updated on 10/23/2024
Phone #: (405) 751-0011 x233
Fax #: (405) 751-7246
County: OKLAHOMA
License: 3741
Dated: 2/1/2024
Expires: 1/31/2025
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:
13601 MEMORIAL PARK DRIVE
SUITE 200
OKLAHOMA CITY OK 73120

Phone #: (405) 751-0011 x233
Fax #: (405) 751-7246
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
WILLIAM HUNTER DINKINES PT 5797
CARRIE LYNN KING PT 2776

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