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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT
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|
SWAN, KELLY MARIE |
| Practice Address: |
224 SOUTH BRADY STR. SUITE 109
CLAREMORE OK 74017
Address last updated on 1/5/2024 |
| Phone #: |
(918) 923-4700 |
| Fax #: |
(918) 923-4701 |
| County: |
ROGERS |
| License: |
1353 |
| Dated: |
11/3/2004 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
8/13/2004 |
|
Temp.
Ltr.
Expires:
|
11/4/2004 |
| License Type: |
Physical Therapist Assistant |
| 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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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
|
BRENT SHANE FOSTER
|
PT |
3812 |
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