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AZUBUIKE, KENNETH STEPHEN       
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: 5026 EAST 109TH PLACE
TULSA OK 74137
Phone #:
Fax #: (918) 492-2254
County: TULSA
License: 19256
Dated: 9/17/1990
Expires: 8/24/1993
License Type: Medical Doctor
Specialty: Pediatrics
Neonatal-Perinatal Medicine
Status: Inactive
Status Class: Special License
Restricted to: PRACT LMTD TO OUHSC RESIDENCY
Registered to Dispense: NO
Medical School: NIGERIA MEDICAL SCHOOLS
Graduated: 6 / 1975
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:
5026 EAST 109TH PLACE
TULSA OK 74137

Phone #:
Fax #: (918) 492-2254

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