Kyli Gough, RDN, LD

NPI #1154783199 in Twin Falls, Idaho

Provider Information

NPI Number: 1154783199
Entity Type: Individual
Name: Kyli Gough, RDN, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RDN, LD
Enumeration Date: Mar 28, 2016
Last Updated: Mar 28, 2016

Practice Location

Address: 496 SHOUP AVE W STE A
City: Twin Falls
State: Idaho
ZIP Code: 83301-5043
Phone: (208) 814-9182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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