NICKELS, KELLY ALICIA - Licensee Information

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Last Update: Wednesday, April 24, 2024 11:07 AM CDT
Next Update: Wednesday, April 24, 2024 4:30 PM CDT

NICKELS, KELLY ALICIA

Practice Address:	STEIN ANCILLARY SERVICES 8520 S 36TH TERR FORT SMITH AR 72908 Address last updated on 12/5/2023
Phone #:	(479) 410-1596
Fax #:
County:	NOT OKLAHOMA
License:	1094
Dated:	2/7/2002
Expires:	1/31/2025
License Type:	Physical Therapist Assistant
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:
STEIN ANCILLARY SERVICES 8520 S 36TH TERR FORT SMITH AR 72908 Phone #: (479) 410-1596 Fax #:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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