MCCUBBIN, KELLEY AMBER - Licensee Information

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MCCUBBIN, KELLEY AMBER

Practice Address:	OKLAHOMA STATE UNIVERSITY 180 CRC STILLWATER OK 74078 Address last updated on 11/9/2023
Phone #:	(405) 780-1497
Fax #:
County:	OKLAHOMA
License:	66
Dated:	11/10/2010
Expires:	11/30/2024
License Type:	Therapeutic Recreation Specialist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
OKLAHOMA STATE UNIVERSITY 180 CRC STILLWATER OK 74078 Phone #: (405) 780-1497 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
ALEXANDRA KAY MEYN	TRS	173

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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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