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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 3:56 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

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SELF, KELLY RENEE
Practice Address: BRIGHTON SENIOR LIVING AT LAKELAND MANOR
604 LAKE MURRAY DRIVE
ARDMORE OK 73401

Address last updated on 10/16/2023
Phone #: (580) 223-4501
Fax #:
County: CARTER
License: 1113
Dated: 12/4/2009
Expires: 10/31/2024
Temp. Ltr. Issued: 10/23/2009
Temp. Ltr. Expires: 1/15/2010
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
BRIGHTON SENIOR LIVING AT LAKELAND MANOR
604 LAKE MURRAY DRIVE
ARDMORE OK 73401

Phone #: (580) 223-4501
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LEAH CENIZA SMITH OT 1253

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