Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOBETH DEANNA KUCHAR, MS, RD, CSP, LD
ActivePediatric Nutrition · MERIDIAN, ID
Registration Details
- NPI Number
- 1144611872
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 17, 2015 (11.175260102707 yrs)
- Last Updated
- Feb 17, 2015
- License
-
D-853 (ID)
Practice Information
- Address
-
1465 DEER CREST STREETBUILDING P 101MERIDIAN, ID, 83646Browse ID providers · Browse ZIP 83646
- Phone
- 4023103662
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. MELISSA MARIE WALLINGA | DCN, RD, LD | 1235538802 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.