Individual provider · NPI-1

Kai Christian Ackley, M.D.

Family Medicine · Lake Charles, LA

NPI number1558065565
StatusActive
Last updated in NPPESAug 13, 2026

Details

NPI
1558065565
Entity type
Individual (NPI-1)
Name
Kai Christian Ackley
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2023
Certification date
Aug 13, 2026
Last updated
Aug 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine350904LAYes

Practice location

4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183

Phone 337-480-7999

Mailing address

4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183

Phone 337-480-7999 · Fax 337-602-6358

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