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Oklahoma Board of Medical Licensure and Supervision

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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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CUNNINGHAM, KELSEY LEAH
Practice Address: 6705 E 81ST ST
SUITE 170
TULSA OK 74133

Address last updated on 1/30/2024
Phone #:
Fax #:
County: TULSA
License: 2925
Dated: 10/11/2018
Expires: 1/31/2025
Temp. Ltr. Issued: 8/21/2018
Temp. Ltr. Expires: 1/10/2019
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:
6705 E 81ST ST
SUITE 170
TULSA OK 74133

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ERIC CREIGHTON SMITH PT 3643

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