NPI 1154690543
Joanna Kelley Davidson, MSRDLD
Practice location
- Address
- 777 Hospital Way Building A, Suite 201, Pocatello, ID 83201-5175
- Phone
- (208) 239-2737
- Fax
- (208) 239-3778
- Mailing address
- 777 Hospital Way Building A, Suite 201, Pocatello, ID 83201
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1154690543
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Dec 2011
- Record last updated
- 14 Dec 2011
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.