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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT
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GODDARD, KAITLEN |
| Practice Address: |
MERCY HOSPITAL ADA
430 N MONTE VISTA STREET
ADA OK 74820
Address last updated on 1/30/2024 |
| Phone #: |
(580) 332-2323 |
| Fax #: |
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| County: |
PONTOTOC |
| License: |
6050 |
| Dated: |
8/16/2021 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
6/2/2021 |
|
Temp.
Ltr.
Expires:
|
9/16/2021 |
| License Type: |
Physical Therapist |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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