WALLACE, KAITLIN F - Licensee Information

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Last Update: Thursday, April 18, 2024 10:06 AM CDT
Next Update: Thursday, April 18, 2024 12:00 PM CDT

WALLACE, KAITLIN F

Practice Address:	FAIRVIEW REGIONAL MEDICAL CENTER 823 JESTER DR FAIRVEW OK 73737 Address last updated on 3/28/2024
Phone #:	(580) 227-1325
Fax #:
County:	MAJOR
License:	2948
Dated:	7/18/2018
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:
FAIRVIEW REGIONAL MEDICAL CENTER 823 JESTER DR FAIRVEW OK 73737 Phone #: (580) 227-1325 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JULIA DAWN WEBB	PT	2652

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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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