KYWNYNN MADSEN
Dietitian, Registered
Active
Individual
NPI: 1770111924
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | 86039670 (ID) |
Frequently Asked Questions
NPI 1770111924 is the National Provider Identifier for KYWNYNN MADSEN, a Dietitian, Registered provider located in Blackfoot, ID. This NPI was enumerated on March 31, 2020.
KYWNYNN MADSEN practices at 98 POPLAR ST, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1770111924
- Type
- Individual
- Enumerated
- Mar 31, 2020
- Last Updated
- Mar 31, 2020
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