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Kelly Petersen, RD
Registered Dietitian in Chubbuck, Idaho
NPI 1407637101

Kelly Petersen is a Registered Dietitian based in Austin, ID. Kelly Petersen practices in Chubbuck, ID and has the professional credentials of RD. The NPI Number for Kelly Petersen is 1407637101 and holds a License No. (Idaho).

The current practice location address for Kelly Petersen is 841 Mckay St, Chubbuck, ID and can be reached out via phone at 208-705-5553. You can also correspond with Kelly Petersen through the mailing address at 3724 JEFFERSON ST STE 104, AUSTIN, TX - 78731-6204 (mailing address contact number: ).

Location: 841 Mckay St, Chubbuck, ID, 78731-6204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407637101
Provider Name
Kelly Petersen
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
841 Mckay St, Chubbuck, ID, 78731-6204
Phone Number
208-705-5553
Fax Number
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
841 Mckay St
City
Chubbuck
State
Idaho
Zip
83202-4961
Phone Number
208-705-5553
Fax Number
person
Provider Business Mailing Address Details
Address
841 Mckay St
City
Chubbuck
State
Idaho
Zip
83202-4961
Phone Number
208-705-5553
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
()
Definition
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.
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