Kody Michael Duclos, RD, LD
Kody Michael Duclos, RD, LD is an Oncology Nutrition Registered Dietitian in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2020.
- Licensed in
- ID
- In the registry since
- 2020
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
305 E Jefferson StBoise, ID 83712-6231
Phone: (208) 381-7081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nutrition Registered Dietitian (primary) | Taxonomy 133VN1004X · Licence 86117056 (ID) |
|---|---|
| Oncology Nutrition Registered Dietitian | Taxonomy 133VN1301X · Licence 86117056 (ID) |
| Pediatric Critical Care Nutrition Registered Dietitian | Taxonomy 133VN1401X · Licence 86117056 (ID) |
Record details
| NPI number | 1033748124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RD , LD |
| Sole proprietor | No |
| NPI enumerated | April 2, 2020 |
| Last updated in NPPES | April 2, 2020 |
| Certification date | April 2, 2020 |
| Mailing address | 5176 W Mercury Ct, Boise, ID 83705-3746 |