JAQUES, KELLEY JEANNE - Licensee Information

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

JAQUES, KELLEY JEANNE

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:	TINKER AIR FORCE BASE AIR DEPOT OKLAHOMA CITY OK 73045 Address last updated on 12/11/2024
Phone #:	(405) 582-6184
Fax #:
County:	OKLAHOMA
License:	1523
Dated:	10/14/1988
Expires:	1/31/2025
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:
TINKER AIR FORCE BASE AIR DEPOT OKLAHOMA CITY OK 73045 Phone #: (405) 582-6184 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
VICTORIA NOEMI ALVARADO	TA	3138
MARY BRIANNA BRANCH	TA	2892
NINA L BROWN	TA	511
THAJA DAWN GILES	TA	787
JOGI MATHEW	PT	2867
LARESA DAWN MILLER	TA	2706
BRANDI SUE MOORE	TA	1503
KARRINGTON MCKENZIE MORRIS	TA	3308
ANNETTE MARIE PHILLIPS	TA	1692
KENDRA MICHELLE STEINLY	TA	2678
SHANA RENEE STEPHENSON	TA	2138

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