Doctor Name: | MRS. JODY KAY SMITH |
NPI Number: | 1528242575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,LD,CDE |
License Number: | D-553 |
Business Practice Address: | 500 W Fort St Boise, ID - 837024501 |
Business Phone Number: | 2084221000 |
Business Fax Number: | 2084221237 |
Mailing Address: | 500 W Fort St, BOISE |
State: | ID |
Postal Code: | 837024501 |
Phone Number: | 2084221000 |
Fax Number: | 2084221237 |
NPI Enumeration Date: | 12/27/2007 |
NPI Last Update Date: | 12/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D-553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |