Provider Demographics
NPI:1801804521
Name:KAHOE, RICHARD D (PH D)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:KAHOE
Suffix:
Gender:
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1431
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73802-1431
Mailing Address - Country:US
Mailing Address - Phone:580-256-2400
Mailing Address - Fax:580-256-2416
Practice Address - Street 1:1607 MAIN
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801
Practice Address - Country:US
Practice Address - Phone:580-256-2400
Practice Address - Fax:580-256-2416
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK709103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service