| Kacey L Wallace, DO | |
|
1000 W Choctaw Ave Ste 9, Chickasha, OK 73018 | |
| (405) 544-2940 | |
| (405) 337-9632 |
| Full Name | Kacey L Wallace |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1000 W Choctaw Ave Ste 9, Chickasha, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306868534 | NPI | - | NPPES |
| P00331218 | Other | OK | MEDICARE RAIL ROAD |
| 200077860A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4339 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kacey L Wallace, DO 1000 W Choctaw Ave Ste 9, Chickasha, OK 73018 Ph: (405) 544-2940 | Kacey L Wallace, DO 1000 W Choctaw Ave Ste 9, Chickasha, OK 73018 Ph: (405) 544-2940 |
Mrs. Abby Marie Housman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2855 | |
Katie Allyse Dudley, APRN, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310 | |
Kevin Anderson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Suite A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2855 | |
Mary Masterman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310 | |
Sibin Nair, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave Ste A, Chickasha, OK 73018 Phone: 405-224-2100 | |
Jeffrey Lee Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 Fax: 405-779-2310 |