Sandy Kipp Rdn LLC

NPI #1164030755 in Nampa, Idaho

Provider Information

NPI Number: 1164030755
Entity Type: Organization
Organization Name: Sandy Kipp Rdn LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Jul 20, 2020
Last Updated: Dec 6, 2023

Practice Location

Address: 1105 2ND ST. S.
City: Nampa
State: Idaho
ZIP Code: 83651
Phone: (208) 250-0836

Authorized Official

Name: SANDRA KIPP, RDN
Title: OWNER/DIETITIAN
Phone: (208) 250-0836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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