NPI 1104352194

Caylee Ketchum, RDLD

Practitioner Registered Dietitian Meridian, ID

Practice location

Address: 1098 E Winslow St, Meridian, ID 83642-4050
Phone: (208) 860-3451

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D705 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1104352194
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2017
Record last updated: 11 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.