SHOWALTER, KYLEE ELISABETH - Licensee Information

Search Results

Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

SHOWALTER, KYLEE ELISABETH

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	OKLAHOMA SPORTS & ORTHOPEDICS INSTITUTE 13401 N WESTERN AVE SUITE 301 OKLAHOMA CITY OK 73114-1411 Address last updated on 8/20/2024
Phone #:	(405) 218-2530
Fax #:
County:	OKLAHOMA
License:	1291
Dated:	9/1/2022
Expires:	8/31/2025
Temp. Ltr. Issued:	7/22/2022
Temp. Ltr. Expires:	9/15/2022
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
OKLAHOMA SPORTS & ORTHOPEDICS INSTITUTE 13401 N WESTERN AVE SUITE 301 OKLAHOMA CITY OK 73114-1411 Phone #: (405) 218-2530 Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
RONALD MATTHEW DUMIGAN	MD	25963
GEORGE GHATA	MD	32460
DONALD WRAY MCGINNIS	MD	17667

Return to Search Licensees page