Kywnynn Madsen

NPI #1770111924 in Blackfoot, Idaho

Provider Information

NPI Number
1770111924
Entity Type
Individual
Name
Kywnynn Madsen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
Mar 31, 2020
Last Updated
Mar 31, 2020

Practice Location

Address
98 POPLAR ST
State
Idaho
ZIP Code
83221-1758
Phone
(208) 785-4100

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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