AUSTEN DAVIS KEMPER RD
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1306497060- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RD
- Status
- Active
Contact & Location
- Address
- 2280 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836473142
- Phone
- (208) 881-1960
Specialties & Taxonomies
Dietitian, Registered
Primary License: ID #D-1135