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DO, KIM       
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: LABORATORY CORPORATION OF AMERICA
7777 FOREST LN #C-350
DALLAS TX 75230

Address last updated on 12/3/2013
Phone #: (972) 566-3794
Fax #:
County: NOT OKLAHOMA
License: 25478
Dated: 2/14/2007
Expires: 2/1/2015
Temp. Lic. Issued: 1/25/2007
Temp. Lic. Expires: 3/24/2007
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 5 / 1995
CME Year: 2016
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 PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LABORATORY CORPORATION OF AMERICA
7777 FOREST LN #C-350
DALLAS TX 75230

Phone #: (972) 566-3794
Fax #:

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