Individual
KAYLA PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7113
Mailing address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7140
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2361
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200523690A
—
OK
Enumeration date
01/16/2014
Last updated
09/30/2020
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