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HOMMEL, KENNETH HERBERT JR       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 6011 ROUNDHILL ROAD
COLUMBUS GA 31904
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 19028
Dated: 7/1/1994
Expires: 7/1/1996
License Type: Medical Doctor
Specialty: Occupational Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Med Coll of GA, GA Hlth Sci Univ, Augusta, GA
Graduated: 6 / 1987
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
6011 ROUNDHILL ROAD
COLUMBUS GA 31904

Phone #:
Fax #:

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