Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaidy Wallace, RDN

Individual provider Registered Dietitian · NPI 1285346452

Kaidy Wallace, RDN is a Registered Dietitian in Manchester, New Hampshire. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

12 Ingalls St
Manchester, NH 03102-4644
Phone: (401) 743-0906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1285346452
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedDecember 20, 2022
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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