Individual provider · Type 1 NPI

Kelly Kathleen Otoole Wood, RDN, LDN

Registered Dietitian · Boise, ID

NPI number 1790288124 Active

Practice location

6126 W State St
Boise, ID 83703-2741

Fax (208) 694-7837

Mailing address

13447 N 2nd Ave
Boise, ID 83714-9409

Other practice locations

  • 13447 N 2nd Ave, Boise, ID 83714-9409 · (208) 407-8921

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XD-460 (ID)

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 1790288124

Kelly Kathleen Otoole Wood, RDN, LDN's National Provider Identifier is 1790288124, issued on Mar 12, 2018. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Boise, ID. The record was last updated on Nov 28, 2023.