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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 7:03 PM CDT
Next Update: Tuesday, April 30, 2024 2:50 AM CDT

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MILLER, MATTHEW KEVIN
Practice Address: ST. ANTHONY PHYSICIANS SHAWNEE
3315 J D KETHLEY RD
SHAWNEE OK 74804

Address last updated on 1/24/2024
Phone #: (405) 395-3821
Fax #: (405) 395-3983
County: POTTAWATOMIE
License: 4272
Dated: 10/19/2009
Expires: 1/31/2025
Temp. Ltr. Issued: 9/11/2009
Temp. Ltr. Expires: 11/20/2009
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:
ST. ANTHONY PHYSICIANS SHAWNEE
3315 J D KETHLEY RD
SHAWNEE OK 74804

Phone #: (405) 395-3821
Fax #: (405) 395-3983
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TYLER C BARTON TA 3179
LYNETTE NICHELLE HOUSTON TA 2041
SHYANNA DAWN SMITH TA 3485
APRIL LYN TROXEL TA 737
MEGAN KRISTINE WILKEY TA 2899

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