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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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WILLIAMS, TAMMY MICHELLE       
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: KIAMICHI MEDICAL CLINIC
403 S INDIAN ROAD
IDABEL OK 74745

Address last updated on 3/6/2024
Phone #: (580) 286-6688
Fax #:
County: MCCURTAIN
License: 1240
Dated: 4/1/2003
Expires: 3/31/2025
Temp. Ltr. Issued: 1/16/2003
Temp. Ltr. Expires: 3/31/2003
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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.
Locations: Hours: Languages:
KIAMICHI MEDICAL CLINIC
403 S INDIAN ROAD
IDABEL OK 74745

Phone #: (580) 286-6688
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BETH L. LEADER DO 2795
DAVID JORDAN PASLAY MD 33277

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