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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, October 22, 2018 3:20 AM CDT
Next Update: Monday, October 22, 2018 12:00 PM CDT

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HARDESTY, KAYLA DIANE
Practice Address: TRINITY MEDICAL
215 N. 3RD
PONCA CITY OK 74601

Address last updated on 3/14/2018
Phone #: (580) 767-1777
Fax #: (580) 762-2917
County: KAY
License: 2970
Dated: 11/3/1999
Expires: 1/31/2019
Temp. Ltr. Issued: 5/21/1999
Temp. Ltr. Expires: 2/9/2000
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2020
Disciplinary History: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
TRINITY MEDICAL
215 N. 3RD
PONCA CITY OK 74601

Phone #: (580) 767-1777
Fax #: (580) 762-2917

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