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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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MCCOLLUM, KELLY KAY
Practice Address: 7506 COVINGTON HOLLOW LN
FORT WAYNE IN 46804

Address last updated on 10/9/2023
Phone #: (405) 919-8142
Fax #:
County: NOT OKLAHOMA
License: 751
Dated: 4/19/2002
Expires: 10/31/2011
License Type: Occupational Therapy Assistant
Specialty: School Based Practice (OT/OA only)
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2012
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:
7506 COVINGTON HOLLOW LN
FORT WAYNE IN 46804

Phone #: (405) 919-8142
Fax #:

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