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

Miss. Kelly Kathleen Otoole Wood, RDN, LDN

Individual provider Registered Dietitian · NPI 1790288124

Miss. Kelly Kathleen Otoole Wood, RDN, LDN is a Registered Dietitian in Boise, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2018
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

6126 W State St
Boise, ID 83703-2741
Phone: (208) 407-8921
Fax: (208) 694-7837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13447 N 2nd Ave, Boise, ID 83714-9409 — (208) 407-8921

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-460 (ID)

Record details

NPI number1790288124
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LDN
Sole proprietorYes
NPI enumeratedMarch 12, 2018
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

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