Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY PETERSEN, RD
ActiveKELLY PETERSEN, RD is a Registered Dietitian healthcare provider located in CHUBBUCK, Idaho. NPI 1407637101 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · CHUBBUCK, ID
Registration Details
- NPI Number
- 1407637101
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2023 (2.8025492476836 yrs)
- Last Updated
- Oct 9, 2023
Practice Information
- Address
-
841 MCKAY STCHUBBUCK, ID, 832024961Browse ID providers · Browse ZIP 83202
- Phone
- 2087055553
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in CHUBBUCK, ID
| Name | Credential | NPI |
|---|---|---|
| JOSEPHINE ELAINE DYE | RD | 1629628060 |
| COURTNEY ESCALONA | RDN | 1396604831 |
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.