KATHY PUCKETT, RDLDCDE
Dietitian, Registered
Active
Individual
NPI: 1891006102
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | D-361 (ID) |
Frequently Asked Questions
NPI 1891006102 is the National Provider Identifier for KATHY PUCKETT, RDLDCDE, a Dietitian, Registered provider located in Blackfoot, ID. This NPI was enumerated on July 1, 2010.
KATHY PUCKETT, RDLDCDE practices at 98 POPLAR ST, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1891006102
- Type
- Individual
- Enumerated
- Jul 1, 2010
- Last Updated
- Oct 4, 2010
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