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Oklahoma Board of Medical Licensure and Supervision

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BOTSFORD, KENNETH BRUCE       
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: 833 ST VINCENTS DRIVE #300
BIRMINGHAM AL 35223

Address last updated on 6/22/2001
Phone #: (800) 999-4566 x627
Fax #:
County: NOT OKLAHOMA
License: 20864
Dated: 8/10/1998
Expires: 8/1/2004
License Type: Medical Doctor
Specialty: Internal Medicine
Infectious Disease
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF VA SCH OF MED HLTH SYS, CHARLOTTESVILLE VA 22908
Graduated: 5 / 1979
CME Year: 2004
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
833 ST VINCENTS DRIVE #300
BIRMINGHAM AL 35223

Phone #: (800) 999-4566 x627
Fax #:

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