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Search › Oklahoma › 207Q00000X

Kacey Wallace, DO

NPI 1306868534 · on the registry since 2006

Practice

Address
1000 W Choctaw Ave Ste 9
Chickasha, OK 73018
Phone
(405) 544-2940
Fax
(405) 337-9632
Organisation at this address
Rasila Bhakta D.D.S.
Care Choice Hospice Of Duncan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma