NPI 1013128354

Kezzie Ann Kvidt

Practitioner Social Worker Corvallis, OR

Practice location

Address: 4455 NE Highway 20, Corvallis, OR 97330-9695
Phone: (541) 758-5975
Mailing address: 1364 NW 19th St, Corvallis, OR 97330-2655

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Oregon →

Registry record

NPI: 1013128354
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2007
Record last updated: 29 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.