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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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HANCOCK, KENNETH JAMES       
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: HEALTHPRO HERITAGE AT HOME
2028 E MEMORIAL RD.
STE 201
EDMOND OK 73013
Address last updated on 10/19/2024
Phone #: (405) 657-7836
Fax #:
County: OKLAHOMA
License: 3544
Dated: 7/25/2002
Expires: 1/31/2025
Temp. Ltr. Issued: 8/21/2009
Temp. Ltr. Expires: 11/20/2009
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:
HEALTHPRO HERITAGE AT HOME
2028 E MEMORIAL RD.
STE 201
EDMOND OK 73013
Phone #: (405) 657-7836
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NICOLAS RAFAEL ALEXANDER TA 1857
DANNETTE ANDREWS TA 2572
KAREN ELAINE ATKINSON TA 1142
KAREN ELAINE ATKINSON TA 1142
KIRA MICHELLE BARCLAY TA 1504
TJ SHANNON BLACKBURN TA 3644
SHARLA SUE BOWLING TA 419
MICKEY VAL COCHRAN TA 2893
PENNY LANETTE DENNIS TA 145
CARLA SUE DOUGLAS TA 740
BRAD LYNN EDWARDS TA 1060
BRANDON HEATH EMERSON TA 1048
AMANDA RENEE EWALD TA 2661
CHELSEY NICOLE EWING TA 1491
ANA G FARRIS TA 890
ANNA FOMUSO TA 3751
KACI LYNN FORD TA 2156
ELIZABETH RUTHANN GHANAATI TA 2357
HANNA BREANN GLOVER TA 3572
KASSY HANSON TA 1906
ERIN DARCY JOHNSON TA 2623
MESHELL NICCOLE JOHNSON-KENNEDY TA 1808
TODD VINCENT KAMPHAUS TA 2656
MICHAELANNE KELLY TA 356
BRITTANY LYNN KING TA 1789
MICHELLE RENEE LAWSON TA 1896
LINDSAY MICHELLE MAGEE TA 3637
RODNEY GERALD MARTIN TA 213
JACQUELINE LYNN MCADOO TA 379
MARLEKA KAI MUNN TA 1401
JEREMY TODD MYERS TA 2188
SCOTT WINFORD NELMS TA 3016
JACOB CHRISTOPHER NUTTER TA 1430
NATHANIEL WAYNE ODUM TA 2088
DANIEL JOSEPH ORE TA 614
JAMES ALAN PHELPS TA 903
KAREN ANN POWELL TA 802
MELISSA DAWN RAY TA 1899
LAUREN RODEBUSH TA 2558
ASHLEIGH DAWN SCHLUTER TA 2023
JOSHUA LADD SCHMIDT TA 1313
MARY CHRISTINE SEATON TA 1719
CAROL AMANDA SKELLY TA 2002
BRIDGETTE DAWN TOWNSEND TA 2293
MIRANDA OPELA WATFORD TA 3272
JOANNA ELIZABETH WOOD TA 1797

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