Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathy Puckett, RDLDCDE

Individual provider Registered Dietitian · NPI 1891006102

Kathy Puckett, RDLDCDE is a Registered Dietitian in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
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Practice location Address checks out

98 Poplar St
Blackfoot, ID 83221-1758
Phone: (208) 785-4100
Fax: (208) 785-8959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-361 (ID)

Record details

NPI number1891006102
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDLDCDE
Sole proprietorNo
NPI enumeratedJuly 1, 2010
Last updated in NPPESOctober 4, 2010
Mailing address98 Poplar St, Blackfoot, ID 83221-1758

Other providers in Blackfoot