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Last Update: Friday, March 29, 2024 3:59 AM CDT
Next Update: Friday, March 29, 2024 12:00 PM CDT
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SHIVE, KELLY JOEL |
Practice Address: |
111 N. BAILEY ST.
PRYOR OK 74361
Address last updated on 1/4/2024 |
Phone #: |
(918) 824-7770 |
Fax #: |
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County: |
MAYES |
License: |
1697 |
Dated: |
9/24/2008 |
Expires: |
1/31/2025 |
Temp.
Ltr.
Issued:
|
8/8/2008 |
Temp.
Ltr.
Expires:
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11/7/2008 |
License Type: |
Physical Therapist Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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