MEARS, KENNEDY SHEA - Licensee Information

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

MEARS, KENNEDY SHEA

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:	ORTHOPEDIC AND SPORTS MEDICINE CENTER 825 E ROBINSON STREET NORMAN OK 73071 Address last updated on 11/29/2024
Phone #:	(405) 310-6827
Fax #:
County:	CLEVELAND
License:	6186
Dated:	8/5/2022
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:
ORTHOPEDIC AND SPORTS MEDICINE CENTER 825 E ROBINSON STREET NORMAN OK 73071 Phone #: (405) 310-6827 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
KOLTON DALE SMITH	TA	3623
JADE ONEAL STAGGS	TA	3319

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