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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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ALLEN, KELLEN 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: 2621 WHISENANT DR
DUNCAN OK 73533-0911

Address last updated on 10/24/2024
Phone #: (580) 252-5300
Fax #:
County: STEPHENS
License: 5111
Dated: 5/27/2016
Expires: 1/31/2025
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:
2621 WHISENANT DR
DUNCAN OK 73533-0911

Phone #: (580) 252-5300
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MIKALYN DALANIE BIANCHINI TA 3810
SHELLY DIANE CONLEY TA 720
LYNDA KAY CRADDOCK TA 721
DANNY JAY CROCKETT TA 1139
KILEY MARIE HOLLOWAY TA 2422
MICHAEL J LEINO TA 3707
BRITTANY SHAE THOMAS TA 2466
JENNIFER LEIGH VANNESS TA 1162

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