Kelly Petersen, RD
Kelly Petersen, RD is a Registered Dietitian OR Nutrition Professional in Chubbuck, Idaho. Qualified in 2012, 14 years ago. Practices with Nourish, Inc, a 277-clinician group and accepts Medicare assignment.
- Years since qualifying
- 14
- In the registry since
- 2023
What do these letters mean?
- RD — Registered Dietitian
- A credentialed nutrition professional.
Practice location Address checks out
841 McKay StChubbuck, ID 83202-4961
Phone: (208) 705-5553
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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 number | 1407637101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD |
| Sole proprietor | No |
| NPI enumerated | October 9, 2023 |
| Last updated in NPPES | October 9, 2023 |
| Certification date | October 9, 2023 |
| Mailing address | 3724 Jefferson St Ste 104, Austin, TX 78731-6204 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Nourish, Inc. — 277 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Chubbuck
-
Josephine Elaine Dye, RD
4479 Oleary Rd, Chubbuck, ID 83202-2858 · (208) 240-0814
-
Courtney Escalona, RDN
560 Aurora Blvd, Chubbuck, ID 83202-2562 · (385) 201-4343