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MISS KELLY KATHLEEN OTOOLE WOOD RDN LDN NPI 1790288124


NPI Information

NPI: 1790288124
Provider Name: MISS KELLY KATHLEEN OTOOLE WOOD, RDN, LDN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
6126 W STATE ST
BOISE, ID
ZIP 83703
Phone: (208) 407-8921
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MISS Kelly Kathleen Otoole Wood, RDN, LDN is a dietitian registered in Boise, ID. The provider is 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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MISS Kelly Kathleen Otoole Wood, RDN, LDN NPI is 1790288124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6126 W STATE ST
BOISE, ID
ZIP 83703-741
Phone: (208) 407-8921
Fax: (208) 694-7837

The enumeration date for this NPI number is 3/12/2018 and was last updated on 11/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredD-460IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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