TAYLOR, KEVIN LYLE - Licensee Information

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Last Update: Friday, December 20, 2024 6:44 PM CST
Next Update: Saturday, December 21, 2024 2:50 AM CST

TAYLOR, KEVIN LYLE

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:	TAYLOR PHYSICAL THERAPY PLLC 9300 N. KELLEY AVE. SUITE B OKLAHOMA CITY OK 73131 Address last updated on 8/5/2024
Phone #:	(405) 286-1170
Fax #:	(405) 286-1145
County:	OKLAHOMA
License:	2276
Dated:	8/18/1994
Expires:	1/31/2025
Temp. Ltr. Issued:	5/26/1994
Temp. Ltr. Expires:	7/23/1994
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:
TAYLOR PHYSICAL THERAPY PLLC 9300 N. KELLEY AVE. SUITE B OKLAHOMA CITY OK 73131 Phone #: (405) 286-1170 Fax #: (405) 286-1145

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
JESSICA MARGARITA GONZALEZ	TA	2900

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