Healthcare Provider Details

I. General information

NPI: 1982935490
Provider Name (Legal Business Name): CURTIS KASH LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2010
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E AVENUE C
HEAVENER OK
74937-2603
US

IV. Provider business mailing address

109 E EP 2010 ST
QUINTON OK
74561-1044
US

V. Phone/Fax

Practice location:
  • Phone: 918-653-2543
  • Fax: 866-318-8057
Mailing address:
  • Phone: 918-441-9143
  • Fax: 918-302-0405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4655
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: