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Oklahoma Board of Medical Licensure and Supervision

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KENNEDY, JOSEPH 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: CHOCTAW NATION HEALTH SERVICES AUTHORITY
902 EAST LINCOLN ROAD
IDABEL OK 74745

Address last updated on 1/3/2012
Phone #: (580) 286-2600
Fax #:
County: MCCURTAIN
License: 4463
Dated: 5/6/2011
Expires: 1/31/2013
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2014
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:
CHOCTAW NATION HEALTH SERVICES AUTHORITY
902 EAST LINCOLN ROAD
IDABEL OK 74745

Phone #: (580) 286-2600
Fax #:

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