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Oklahoma Board of Medical Licensure and Supervision

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

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ELLER, KOURTNEY MYCHELL
Practice Address: PROVIDENCE HOME CARE
2831 NW 59TH ST
OKLAHOMA CITY OK 73112

Address last updated on 2/8/2024
Phone #: (405) 602-3295
Fax #:
County: OKLAHOMA
License: 5899
Dated: 10/7/2020
Expires: 1/31/2025
Temp. Ltr. Issued: 6/16/2020
Temp. Ltr. Expires: 11/5/2020
License Type: Physical Therapist
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:
PROVIDENCE HOME CARE
2831 NW 59TH ST
OKLAHOMA CITY OK 73112

Phone #: (405) 602-3295
Fax #:

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