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Oklahoma Board of Medical Licensure and Supervision

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

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HALCOMB, KENNETH SHANE       
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: 700 CR 33500 SOUTH
SUMNER TX 75486

Address last updated on 12/17/2024
Phone #: (903) 517-6360
Fax #:
County: NOT OKLAHOMA
License: 2635
Dated: 5/22/1997
Expires: 1/31/2026
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:
700 CR 33500 SOUTH
SUMNER TX 75486

Phone #: (903) 517-6360
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KATHLEEN ALISON EASTWOOD TA 2855
SHASTA DAWN PERRY TA 1371
BLAKELEY MATTHEW WHITBECK TA 2709

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