Kathy Puckett, RDLDCDE

NPI #1891006102 in Blackfoot, Idaho

Provider Information

NPI Number
1891006102
Entity Type
Individual
Name
Kathy Puckett, RDLDCDE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RDLDCDE
Enumeration Date
Jul 1, 2010
Last Updated
Oct 4, 2010

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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