MCCOY, KIMBERLY DIANE - Licensee Information

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Last Update: Friday, April 26, 2024 4:03 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT

MCCOY, KIMBERLY DIANE

Practice Address:	ASCENSION ST JOHN HOME HEALTH 4612 S HARVARD AVE STE C TULSA OK 74135 Address last updated on 4/18/2024
Phone #:	(918) 747-7901
Fax #:
County:	TULSA
License:	1346
Dated:	10/14/2004
Expires:	1/31/2025
License Type:	Physical Therapist Assistant
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 HOME HEALTH 4612 S HARVARD AVE STE C TULSA OK 74135 Phone #: (918) 747-7901 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
CELIA JAYNE FANCHIER	PT	6428

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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