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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 25, 2024 6:43 PM CST
Next Update: Thursday, December 26, 2024 2:50 AM CST

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STANFORTH, KEVIN CHARLES       
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: MERCY HEALTH HOSPITAL
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73162
Address last updated on 2/14/2024
Phone #: (405) 755-1515 x213
Fax #:
County: OKLAHOMA
License: 6424
Dated: 9/1/2023
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:
MERCY HEALTH HOSPITAL
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73162
Phone #: (405) 755-1515 x213
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY JOY DELEON TA 582
TAPANGA DEZERA FAIRLESS TA 3586
BROOKLYNN DANETTE FRICKS TA 3426
KIMBERLY REGINA GARZA TA 1232
HEATHER NICOLE SHIELDS TA 571
LINDSEY MARIE SHORT TA 1912
CHIPPER LANE SKELTON TA 3691
SARAH ANN STARR TA 2801
JACQUELINE DEAN WHETSTONE TA 391
JACQUELINE DEAN WHETSTONE TA 391
JOANNA ELIZABETH WOOD TA 1797

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