Kody Duclos, RD, LD

Individual Active
NPI 1033748124
Pediatric Nutrition Registered Dietitian Boise, ID

Kody Duclos, RD, LD holds NPI 1033748124, with a primary taxonomy of pediatric nutrition registered dietitian and a practice location in Boise, ID. The number was issued on April 2, 2020 and the NPPES record was last updated on April 2, 2020. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X 86117056 (ID)
Oncology Nutrition Registered Dietitian 133VN1301X 86117056 (ID)
Pediatric Critical Care Nutrition Registered Dietitian 133VN1401X 86117056 (ID)

Practice location

305 E Jefferson St
Boise, ID 83712-6231
Phone: (208) 381-7081

Local context

Active NPPES records list 12 providers with pediatric nutrition registered dietitian as the primary taxonomy within 25 miles of this practice location's ZIP code, 9 of them within 10 miles.

The same primary taxonomy is listed by 15 in Idaho and 1,386 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kody Michael Duclos
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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