Kacey L Wallace is a Family Medicine Physician based in Chickasha, OK. Kacey L Wallace practices in Chickasha, OK and has the professional credentials of DO. The NPI Number for Kacey L Wallace is 1306868534 and holds a License No. 4339 (Oklahoma).
The current practice location address for Kacey L Wallace is 1000 W Choctaw Ave Ste 9, Chickasha, OK and can be reached out via phone at 405-544-2940 and via fax at 405-337-9632. You can also correspond with Kacey L Wallace through the mailing address at 1000 W CHOCTAW AVE STE 9, CHICKASHA, OK - 73018 (mailing address contact number: 405-544-2940).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00331218 | 01 | OK | MEDICARE RAIL ROAD |
| 200077860A | 05 | OK |
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