PRICE, KAYLA RAE - Licensee Information

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

PRICE, KAYLA RAE

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:	CHOCTAW NATION HEALTH AUTHORITY ONE CHOCTAW WAY TALIHINA OK 74571 Address last updated on 3/5/2024
Phone #:	(918) 567-7000
Fax #:
County:	OKLAHOMA
License:	2361
Dated:	1/24/2014
Expires:	3/31/2025
Temp. Ltr. Issued:	1/10/2014
Temp. Ltr. Expires:	4/1/2014
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:
CHOCTAW NATION HEALTH AUTHORITY ONE CHOCTAW WAY TALIHINA OK 74571 Phone #: (918) 567-7000 Fax #:

Hospital Privileges:

Choctaw Nation Hlth Svcs Authority
Talihina, OK

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
AMANDA GAYE CHISUM-PRICE	MD	28823

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