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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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ADAMS, MICAH HENRY       
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: STEIN ANCILLARY SERVICES
8520 SOUTH 36TH TERRACE
FORT SMITH AR 72908
Address last updated on 3/14/2023
Phone #: (479) 410-1740
Fax #:
County: NOT OKLAHOMA
License: 3476
Dated: 7/19/2001
Expires: 1/31/2023
Temp. Ltr. Issued: 7/5/2001
Temp. Ltr. Expires: 9/29/2001
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2024
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:
STEIN ANCILLARY SERVICES
8520 SOUTH 36TH TERRACE
FORT SMITH AR 72908
Phone #: (479) 410-1740
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMBER DAWN ADAMS TA 1880
PENNY S BLUM TA 2231
SHARLA SUE BOWLING TA 419
AMY RENEE BOYD TA 554
BRYAN O'NEAL BRAY TA 2003
MICHAEL PATRICK BURNS TA 3244
ANGELA DENISE CAGLE TA 556
PATRICIA ANNE CARSHALL TA 1875
PETE SMITH CEPEDA TA 1462
KAYLA RENAE COLE TA 2245
JOE C DALMUT JR TA 1385
ASHLEY DAWN DUMAS TA 1620
DARBY LEANN DUNCAN TA 3406
SASHA LYNN GREGORY TA 1382
RHONDA MAE HESTER TA 2800
HARVEY JAMES HUDGENS TA 474
MAGGIE LEE KENNEDY TA 1464
AMANDA DANICE KESTER TA 1174
MARSHAL ALAN KING TA 3216
KASEY LYNN KISSEE TA 1567
JAYCE JOE KITCHELL TA 3712
TRACY NICOLE LAMB TA 1279
SARAH LYNE MAXWELL TA 1204
MARCIE DAWN MAYES TA 1443
ADAH JEWELL NAIR TA 3141
ROSALIE CAWARD PIXLEY TA 1511
MATTHEW QUALLS TA 2339
GERALDINE L REEVES TA 647
DIANA KAY RICE TA 289
HALLEY MACKENNA SANCHEZ TA 2717
ROBIN KAY STACY TA 1950
CAROL RAY TAYLOR TA 2024
SAMANTHA CHRISTINA TAYLOR TA 1662
JEFFREY CALETON TENCLEVE TA 1971

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