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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT

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HASKINS, KODY RAY
Practice Address: 9309 EAST RENO AVENUE
MIDWEST CITY OK 73130

Address last updated on 1/26/2024
Phone #: (405) 732-3353
Fax #: (405) 732-3397
County: OKLAHOMA
License: 6029
Dated: 6/15/2021
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:
9309 EAST RENO AVENUE
MIDWEST CITY OK 73130

Phone #: (405) 732-3353
Fax #: (405) 732-3397
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
THAJA DAWN GILES TA 787
THEODORE WILLIAM OWEN TA 1496
HEATHER MARIE PAINTER TA 1774

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