Kelly Petersen, RD
NPI #1407637101 in Chubbuck, Idaho
Provider Information
- NPI Number
- 1407637101
- Entity Type
- Individual
- Name
- Kelly Petersen, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Oct 9, 2023
- Last Updated
- Oct 9, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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