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SHORTT, KEVIN G.       
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: SCS MEDICAL
5301 F STREET #111
SACRAMENTO CA 95819

Address last updated on 9/4/2001
Phone #:
Fax #: (918) 481-2936
County: NOT OKLAHOMA
License: 21726
Dated: 10/4/2000
Expires: 10/1/2001
Temp. Lic. Issued: 7/27/2000
Temp. Lic. Expires: 10/4/2000
License Type: Medical Doctor
Specialty: Cardiothoracic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Rutgers New Jersey Med Sch, Newark NJ 07103 (frmly UMDNJ)
Graduated: 5 / 1991
CME Year: 2003
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 SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SCS MEDICAL
5301 F STREET #111
SACRAMENTO CA 95819

Phone #:
Fax #: (918) 481-2936

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