HOLMES, KELLI DAWN - Licensee Information

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Last Update: Tuesday, December 24, 2024 6:44 PM CST
Next Update: Wednesday, December 25, 2024 2:50 AM CST

HOLMES, KELLI DAWN

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 HEALTH CENTER 5401 W. MEMORIAL ROAD OKLAHOMA CITY OK 73142 Address last updated on 4/5/2024
Phone #:	(405) 384-5250
Fax #:
County:	OKLAHOMA
License:	2113
Dated:	11/20/1993
Expires:	1/31/2025
Temp. Ltr. Issued:	6/17/1993
Temp. Ltr. Expires:	11/20/1993
License Type:	Physical Therapist
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:
MERCY HEALTH CENTER 5401 W. MEMORIAL ROAD OKLAHOMA CITY OK 73142 Phone #: (405) 384-5250 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
BRIAN BLAKE BURNS	TA	2888
SOFIA DOZMOROVA	TA	2283
ALEXANDRIA GALE GOODRICH	TA	2917
ALEIA MECHELLE GORDON	TA	2971
ANGELIA KAY MASON	TA	466
SHELBY LEXANNA MILLER	TA	3176
LESLIE HEIDI ROBERTS	TA	3050
RACHEL ELIZABETH SOPER	TA	3371
AUBREY KNOX STANLEY	TA	2764
JAROD ALLEN VIRDEN	TA	2895

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