GODWIN, KAYLA NICOLE - Licensee Information

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

GODWIN, KAYLA NICOLE

Practice Address:	404 SE 4TH ST. MOORELAND OK 73852 Address last updated on 8/30/2023
Phone #:	(580) 994-5426
Fax #:
County:	WOODWARD
License:	973
Dated:	2/8/2017
Expires:	8/31/2024
Temp. Ltr. Issued:	10/21/2016
Temp. Ltr. Expires:	3/2/2017
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
404 SE 4TH ST. MOORELAND OK 73852 Phone #: (580) 994-5426 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
RONALD MATTHEW DUMIGAN	MD	25963

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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