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BAILEY, KENNETH MICHAEL
Practice Address: 706 E. 1ST STREET
FORT WORTH TX 76102

Address last updated on 11/14/2013
Phone #: (817) 797-3392
Fax #: (817) 348-9932
County: NOT OKLAHOMA
License: 27444
Dated: 1/13/2010
Expires: 1/1/2015
Temp. Lic. Issued: 12/28/2009
Temp. Lic. Expires: 1/26/2010
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 2000
CME Year: 2015
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.
Certifications: AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
706 E. 1ST STREET
FORT WORTH TX 76102

Phone #: (817) 797-3392
Fax #: (817) 348-9932
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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