# KEVIN O HEID

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972537322
- **Gender:** Man
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY00001694 | WA | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 05/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7122955 | — | WA |
| 01 | — | 8327967 | WA MEDICAID | WA |
| 01 | — | AB32999 | MEDICARE GROUP | WA |