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Next Update: Monday, April 29, 2024 4:30 PM CDT

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GODEAUX, KENNETH BRYANT
Practice Address: XSTREME MD
1245 S. COLLEGE RD, SUITE 101
LAFAYETTE LA 70503

Address last updated on 4/5/2014
Phone #: (337) 704-0891
Fax #:
County: NOT OKLAHOMA
License: 30603
Dated: 9/18/2014
Expires: 9/1/2015
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 6 / 2001
CME Year: 2017
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
XSTREME MD
1245 S. COLLEGE RD, SUITE 101
LAFAYETTE LA 70503

Phone #: (337) 704-0891
Fax #:

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