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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

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BERRY, KELLY JOHNSON
Practice Address: ASCENSION ST JOHN MEDICAL CENTER
1923 SOUTH UTICA AVE
TULSA OK 74104-6502

Address last updated on 12/4/2023
Phone #: (918) 744-2476
Fax #: (918) 744-3075
County: TULSA
License: 1968
Dated: 9/12/1992
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:
ASCENSION ST JOHN MEDICAL CENTER
1923 SOUTH UTICA AVE
TULSA OK 74104-6502

Phone #: (918) 744-2476
Fax #: (918) 744-3075
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STACY A AVERY TA 2588
WILLIAM GERALD BELLER TA 2644

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