Individual provider · Type 1 NPI

Kelly Petersen, RD

Registered Dietitian · Chubbuck, ID

NPI number 1407637101 Active

Practice location

841 Mckay St
Chubbuck, ID 83202-4961

Mailing address

3724 Jefferson St Ste 104
Austin, TX 78731-6204

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 1407637101

Kelly Petersen, RD's National Provider Identifier is 1407637101, issued on Oct 9, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Chubbuck, ID. The record was last updated on Oct 9, 2023.