Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kacey L Wallace, DO

Individual provider Family Medicine Physician · NPI 1306868534

Kacey L Wallace, DO is a Family Medicine Physician in Chickasha, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1000 W Choctaw Ave Ste 9
Chickasha, OK 73018
Phone: (405) 544-2940
Fax: (405) 337-9632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4339 (OK)

Record details

NPI number1306868534
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESNovember 24, 2023
Certification dateJune 11, 2020
Mailing address1000 W Choctaw Ave Ste 9, Chickasha, OK 73018

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