KETTNER, JACOB - Licensee Information - Oklahoma Medical Board

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

KETTNER, JACOB

Practice Address:	THERA-PLAY PEDIATRICS 6815 ISAAC'S ORCHARD RD. SUITE D SPRINGDALE AR 72762 Address last updated on 11/12/2019
Phone #:	(479) 856-6400
Fax #:
County:	NOT OKLAHOMA
License:	5774
Dated:	2/1/2020
Expires:	1/31/2021
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2022

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:
THERA-PLAY PEDIATRICS 6815 ISAAC'S ORCHARD RD. SUITE D SPRINGDALE AR 72762 Phone #: (479) 856-6400 Fax #:

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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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