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Kacey L Wallace, DO
Family Medicine Physician in Chickasha, Oklahoma
NPI 1306868534

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.

Location: 1000 W Choctaw Ave Ste 9, Chickasha, OK, 73018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306868534
Provider Name
Kacey L Wallace
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1000 W Choctaw Ave Ste 9, Chickasha, OK, 73018
Phone Number
405-544-2940
Fax Number
405-337-9632
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00331218 01 OK MEDICARE RAIL ROAD
200077860A 05 OK
institution
Provider Business Practice Location Address Details
Address
1000 W Choctaw Ave Ste 9
City
Chickasha
State
Oklahoma
Zip
73018
Phone Number
405-544-2940
Fax Number
405-337-9632
person
Provider Business Mailing Address Details
Address
1000 W Choctaw Ave Ste 9
City
Chickasha
State
Oklahoma
Zip
73018
Phone Number
405-544-2940
Fax Number
405-337-9632
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4339 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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