Caylee Ketchum, RD, LD

NPI #1104352194 in Meridian, Idaho

Provider Information

NPI Number
1104352194
Entity Type
Individual
Name
Caylee Ketchum, RD, LD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LD
Enumeration Date
May 11, 2017
Last Updated
May 11, 2017

Practice Location

Address
1098 E WINSLOW ST
State
Idaho
ZIP Code
83642-4050
Phone
(208) 860-3451

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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