Kai Christian Ackley, M.D.
Individual provider Active NPI Family Medicine Physician · Lake Charles, LA
NPI 1558065565 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1558065565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 350904 (LA)
- Practice address
- 4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183 - Phone
- (337) 480-7999
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230522000822 | LA | Order and Referring Only - Family Practice |
5092171884 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- kackley5295891@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 350904 | LA | Yes |
Addresses
Primary practice location
4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183
Mailing address
4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183
Phone (337) 480-7999
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- Acadian Holistic Services LLC
- Acadian Home Health Care Services, LLC
- Access Primary Care LLC
- Access Urgent Care Inc
- Kendra P Achord
- Action Potential Physical Therapy - Moss Bluff, LLC
- Action Potential Physical Therapy - Oak Park, LLC
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- Rodney Ledesma Acuna
- Heather Smith Adams
All providers in Lake Charles, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.