SHANNON, KYLIE - Licensee Information - Oklahoma Medical Board

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

SHANNON, KYLIE

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:	ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC 13720 E 86TH ST NORTH OWASSO OK 74055 Address last updated on 1/15/2024
Phone #:	(918) 609-8088
Fax #:	(918) 609-8089
County:	TULSA
License:	5659
Dated:	5/22/2019
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:
ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC 13720 E 86TH ST NORTH OWASSO OK 74055 Phone #: (918) 609-8088 Fax #: (918) 609-8089

Name:	Type:	License Number:
Primary Supervisees(s):
CAILLEY QUINN BEAN	TA	3608
LEISA J. BRUNS	TA	199
TAYLOR CALDWELL	TA	2637
KARIM MARTINO CANTO	TA	3554
BAILEY LAINE CLARK	TA	2938
ASHLEY MYRIAH DUDLEY	TA	1973
STEVAN WAYNE JAMESON	TA	3765
MISTY DAWN MCMULLEN	TA	1453
ASHLEY POULIN	TA	2837
JAMIE LYNN STEIDLEY	TA	1672
EMILY ANN TROUT	TA	1442

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