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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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EDWARDS, KILEY LYNN       
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: 1903 OPAL AVE
CLINTON OK 73601

Address last updated on 10/8/2024
Phone #:
Fax #:
County: CUSTER
License: 1343
Dated: 2/19/2016
Expires: 10/31/2025
Temp. Ltr. Issued: 9/28/2012
Temp. Ltr. Expires: 9/27/2013
License Type: Occupational Therapy 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:
1903 OPAL AVE
CLINTON OK 73601

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DANIELLE RAE MADDOX OT 5416
EMILY JO PICKETT OT 1425

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