GIRARD, KEITH ALLEN - Licensee Information

Search Results

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

GIRARD, KEITH ALLEN

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:	JANE PHILLIPS INPATIENT PHYSICAL MEDICINE 3500 SE FRANK PHILLIPS BLVD BARTLESVILLE OK 74006 Address last updated on 2/1/2024
Phone #:	(918) 333-7200 x4266
Fax #:	(918) 331-1360
County:	WASHINGTON
License:	2380
Dated:	8/14/1995
Expires:	1/31/2025
Temp. Ltr. Issued:	5/22/1995
Temp. Ltr. Expires:	11/4/1995
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:
JANE PHILLIPS INPATIENT PHYSICAL MEDICINE 3500 SE FRANK PHILLIPS BLVD BARTLESVILLE OK 74006 Phone #: (918) 333-7200 x4266 Fax #: (918) 331-1360

Name:	Type:	License Number:
Primary Supervisees(s):
MARK ALLEN ANTHONY	TA	325
GABRIEL LEE MOORE	TA	2906
KRISTIN LORRAINE MORRIS	TA	2560
MATTHEW STEELE	TA	2690

Return to Search Licensees page