Individual provider · Type 1 NPI

Kaidy Wallace, RDN

Registered Dietitian · Manchester, NH

NPI number 1285346452 Active

Practice location

12 Ingalls St
Manchester, NH 03102-4644

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1285346452

Kaidy Wallace, RDN's National Provider Identifier is 1285346452, issued on Dec 20, 2022. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Manchester, NH. The record was last updated on Aug 13, 2025.