Kody Michael Duclos, RD, LD | |
305 E Jefferson St, Boise, ID 83712-6231 | |
(208) 381-7081 | |
Not Available |
Full Name | Kody Michael Duclos |
---|---|
Gender | Male |
Speciality | Dietitian, Registered - Nutrition, Pediatric |
Location | 305 E Jefferson St, Boise, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033748124 | NPI | - | NPPES |
86117056 | Other | ID | COMMISSION ON DIETETIC REGISTRATION |
Mailing Address | Practice Location Address |
---|---|
Kody Michael Duclos, RD, LD 5176 W Mercury Ct, Boise, ID 83705-3746 Ph: (208) 507-5656 | Kody Michael Duclos, RD, LD 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 381-7081 |
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