KILLGORE, MELISSA MICHELLE - 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

KILLGORE, MELISSA MICHELLE

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:	SSM ST. ANTHONY PHYSICIANS SHAWNEE 3315 KETHLEY SHAWNEE OK 74801-4114 Address last updated on 1/12/2024
Phone #:	(405) 273-5801
Fax #:
County:	POTTAWATOMIE
License:	2089
Dated:	11/20/1993
Expires:	1/31/2025
Temp. Ltr. Issued:	5/20/1993
Temp. Ltr. Expires:	11/20/1993
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:
SSM ST. ANTHONY PHYSICIANS SHAWNEE 3315 KETHLEY SHAWNEE OK 74801-4114 Phone #: (405) 273-5801 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
TYLER C BARTON	TA	3179
APRIL LYN METCALF	TA	737
SHYANNA DAWN SMITH	TA	3485
MEGAN KRISTINE WILKEY	TA	2899

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