Sandy Kipp Rdn LLC
Dietitian, Registered in Nampa, ID. Organization (NPI-2).
NPI number1164030755
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1164030755
- Entity type
- Organization (NPI-2)
- Legal business name
- Sandy Kipp Rdn LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2020
- Certification date
- Dec 5, 2023
- Last updated
- Dec 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Other names
- "in Care Of" Nourish Your Life (Other Name)
Practice location
1105 2nd St. S.Nampa, ID 83651
Phone 208-250-0836 · Fax 888-972-6280
Mailing address
823 W Mountain Ash LoopNampa, ID 83686-2681
Phone 208-250-0836 · Fax 888-972-6280
Other practice locations
823 W Mountain Ash Loop
Nampa, ID 83686-2681
Nampa, ID 83686-2681
Phone 208-250-0836
Authorized official
Sandra Kipp
Owner/Dietitian
2082500836
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