Matthew Kasey Ashlock

Individual provider Active NPI Case Manager/Care Coordinator · Idabel, OK

NPI 1740112150 · NPPES record last updated Jun 1, 2026

Key facts

NPI
1740112150
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
14 NE MLK Ave
Idabel, OK 74745-4610
Phone
(580) 286-5132
NPI assigned
Jun 1, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

14 NE MLK Ave
Idabel, OK 74745-4610

Mailing address

236 Peaceful Home Rd
Valliant, OK 74764-5546

Other providers in Idabel, OK

All providers in Idabel, OK · Case Manager/Care Coordinator in Oklahoma

Sources for this page

Verify at the official NPI Registry.