| Kathy Puckett, RDLDCDE | |
|
98 Poplar St, Blackfoot, ID 83221-1758 | |
| (208) 785-4100 | |
| (208) 785-8959 |
| Full Name | Kathy Puckett |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 98 Poplar St, Blackfoot, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891006102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | D-361 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Puckett, RDLDCDE 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100 | Kathy Puckett, RDLDCDE 98 Poplar St, Blackfoot, ID 83221-1758 Ph: (208) 785-4100 |
Jan Williamson, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Andrea Porter, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 725 Jensen Grove Dr, Blackfoot, ID 83221 Phone: 208-226-4200 | |
Shawna Durbin, Dietitian Medicare: Medicare Enrolled Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3722 | |
Stephanie Lynn Henderson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1555 Vernon Ave, Blackfoot, ID 83221 Phone: 307-399-0139 | |
Camile Michaelson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 | |
Allison Marotz, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3867 | |
Kywnynn Madsen, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100 |