KACEY WALLACE, DO

Family Medicine

Active Individual
NPI: 1306868534

Practice Address

1000 W CHOCTAW AVE STE 9
Chickasha, OK 73018

Phone: (405) 544-2940

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 4339 (OK)

Frequently Asked Questions

NPI 1306868534 is the National Provider Identifier for KACEY WALLACE, DO, a Family Medicine provider located in Chickasha, OK. This NPI was enumerated on July 24, 2006.
KACEY WALLACE, DO practices at 1000 W CHOCTAW AVE STE 9, Chickasha, OK 73018.

Quick Facts

NPI
1306868534
Type
Individual
Enumerated
Jul 24, 2006
Last Updated
Nov 24, 2023

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