Individual provider · Type 1 NPI

Kody Michael Duclos, RD, LD

Pediatric Nutrition Registered Dietitian · Boise, ID

NPI number 1033748124 Active

Practice location

305 E Jefferson St
Boise, ID 83712-6231

Call (208) 381-7081 Map

Mailing address

5176 W Mercury Ct
Boise, ID 83705-3746

Specialties and licenses

TaxonomyCodeLicense
Oncology Nutrition Registered Dietitian 133VN1301X86117056 (ID)
Pediatric Critical Care Nutrition Registered Dietitian 133VN1401X86117056 (ID)
Pediatric Nutrition Registered Dietitian Primary 133VN1004X86117056 (ID)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1033748124

Kody Michael Duclos, RD, LD's National Provider Identifier is 1033748124, issued on Apr 2, 2020. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Boise, ID. The record was last updated on Apr 2, 2020.