MCCLISH, KEVIN LAMONT - 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

MCCLISH, KEVIN LAMONT

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 HEALTH BONE & JOINT 1111 N DEWEY AVE OKLAHOMA CITY OK 73103-4201 Address last updated on 7/25/2024
Phone #:	(405) 979-8080
Fax #:	(405) 979-8086
County:	OKLAHOMA
License:	3279
Dated:	2/1/2001
Expires:	1/31/2025
Temp. Ltr. Issued:	12/2/1999
Temp. Ltr. Expires:	8/8/2000
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 HEALTH BONE & JOINT 1111 N DEWEY AVE OKLAHOMA CITY OK 73103-4201 Phone #: (405) 979-8080 Fax #: (405) 979-8086

Name:	Type:	License Number:
Primary Supervisees(s):
JOSEPH HARVEY BALL	TA	1709
BRIAN LEE BARNUM	TA	1049
ADAM RAY BOYD	TA	1574
PAUL MANNING BRAMBLE III	TA	1550
SHANE EUGENE FRANCIS CORROTTO	TA	206
NICHOLE LYNN GOALDEN	TA	3659
JOSEPHINE HAFNER-BONOVICH	TA	1145
REAGAN THOMAS HALL	TA	3777
JOHN MICHAEL HAMMON	TA	1148
BRADYN CHASE KOEHLER	TA	3265
JENNIFER JO LUTOMSKI	TA	679
RANDALL D. MOORE II	TA	954
MITZI JILL MULFORD	TA	758
JOSHINA PHILIPOSE	TA	2294
EMBERLY MAY PRYOR	TA	3560
RYAN BELMONT TAYLOR	TA	3229
AMELIA ANN WADDLE	TA	2660

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