Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KACEY L WALLACE, DO
ActiveKACEY L WALLACE, DO is a Family Medicine healthcare provider located in CHICKASHA, Oklahoma. NPI 1306868534 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CHICKASHA, OK
Registration Details
- NPI Number
- 1306868534
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2006 (20.022004338265 yrs)
- Last Updated
- Nov 24, 2023
- License
-
4339 (OK)
Practice Information
- Address
-
1000 W CHOCTAW AVE STE 9CHICKASHA, OK, 73018Browse OK providers · Browse ZIP 73018
- Phone
- 4055442940
- Fax
- 4053379632
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CHICKASHA, OK
| Name | Credential | NPI |
|---|---|---|
| KEVIN MARK RICCITELLI | D.O. | 1982603536 |
| MITCHELL D COPPEDGE | MD | 1902887482 |
| DR. JOHN JULES SCHIPUL | MD | 1790912707 |
| KEVIN ANDERSON | D.O. | 1154655157 |
| MRS. ABBY MARIE HOUSMAN | D.O. | 1023336542 |
| MARY MASTERMAN | M.D. | 1225487655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.