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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 1:13 PM CST
Next Update: Sunday, December 22, 2024 4:30 PM CST

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SIMS, MIKAYLA JEAN       
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: ST ANTHONY SHAWNEE HOSPITAL
1102 W MACARTHUR ST
SHAWNEE OK 74804

Address last updated on 8/8/2024
Phone #: (405) 273-2270
Fax #:
County: POTTAWATOMIE
License: 2876
Dated: 12/18/2017
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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:
ST ANTHONY SHAWNEE HOSPITAL
1102 W MACARTHUR ST
SHAWNEE OK 74804

Phone #: (405) 273-2270
Fax #:

Hospital Privileges:

SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Brian Brody Baker DO 6136
CARLOS CABRERA DO 5196
JAMES MICHAEL FITZGERALD DO 3949
JOHN FITZGERALD DO 5556
RANDALL L. HENDERSON DO 5228
AREK KURKCIYAN MD 26443
KEVIN M. PENWELL DO 3873
DANIELLE LEILANI RUSSELL DO 5275
JAY JOSHUA SNELL MD 26502
TARA D. STEWART DO 5252
MARY H THOMPSON MD 15367

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