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IRVIS, KENNETH M.       
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: SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC.
860 WHITEHORSE PIKE
HAMMONTON NJ 08037

Address last updated on 8/15/2011
Phone #: (609) 567-0200
Fax #:
County: NOT OKLAHOMA
License: 23147
Dated: 9/23/2002
Expires: 9/1/2012
Temp. Lic. Issued: 9/19/2002
Temp. Lic. Expires: 11/24/2002
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduated: 5 / 1977
CME Year: 2014
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: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC.
860 WHITEHORSE PIKE
HAMMONTON NJ 08037

Phone #: (609) 567-0200
Fax #:

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