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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 16, 2024 7:04 PM CDT
Next Update: Friday, May 17, 2024 2:50 AM CDT

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CARROLL, KENNETH THOMAS       
Practice Address: 4553 N. SHALLOWFORD RD., #50-B
ATLANTA GA 30338
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 12184
Dated: 4/25/1979
Expires: 6/30/1985
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: / 1972
CME Year:
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 OBSTETRICS AND GYNECOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4553 N. SHALLOWFORD RD., #50-B
ATLANTA GA 30338

Phone #:
Fax #:

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