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Primary Practice Address
1000 W CHOCTAW AVE STE 9
CHICKASHA, OK 73018 US
PECOS Enrolled

Kacey L Wallace

Family Medicine Physician


Overview

Kacey L Wallace is a Family Medicine Physician in the CHICKASHA area. Kacey L Wallace primary office location is at 1000 W CHOCTAW AVE STE 9 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1306868534 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1000 W CHOCTAW AVE STE 9
CHICKASHA, OK 73018 US
Phone: (405)-544-2940
Fax:
Practice Mailing Information
1000 W CHOCTAW AVE STE 9
CHICKASHA, OK 73018 US
Phone: (405)-544-2940
Fax: (405)-337-9632
License Number State
4339 OK