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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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HOMER, CAROL LE       
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: INTEGRIS CANADIAN VALLEY HOSPITAL
1201 HEALTH CENTER PARKWAY
YUKON OK 73099

Address last updated on 3/13/2024
Phone #: (405) 717-6800
Fax #:
County: CANADIAN
License: 2163
Dated: 10/22/2012
Expires: 3/31/2025
Temp. Ltr. Issued: 10/19/2012
Temp. Ltr. Expires: 11/8/2012
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:
INTEGRIS CANADIAN VALLEY HOSPITAL
1201 HEALTH CENTER PARKWAY
YUKON OK 73099

Phone #: (405) 717-6800
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JAMES ROSS DAVIS DO 3657
ERIN COLLETTE KELLY MD 27649
Tyler Clayton Stephens DO 5818

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