WEAR, KEITH MICHAEL - Licensee Information

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

WEAR, KEITH MICHAEL

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:	MERCY ORTHOPEDIC ASSOCIATES 3301 N.W. 50TH STREET OKLAHOMA CITY OK 73112 Address last updated on 8/17/2024
Phone #:	(405) 947-0911
Fax #:
County:	OKLAHOMA
License:	904
Dated:	6/16/2016
Expires:	8/31/2025
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:
MERCY ORTHOPEDIC ASSOCIATES 3301 N.W. 50TH STREET OKLAHOMA CITY OK 73112 Phone #: (405) 947-0911 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
STEVEN PAUL BRANTLEY	MD	28487

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