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NPI Profile for KODY M DUCLOS in BOISE, ID.
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Pediatric |
133VN1004X | 71 | Registered Dietitian or Nutrition Professional | |
Nutrition, Oncology |
133VN1301X | 71 | Registered Dietitian or Nutrition Professional | |
Nutrition, Pediatric Critical Care |
133VN1401X | 71 | Registered Dietitian or Nutrition Professional |
| NPI Number | 1033748124 |
|
| Status | Active | |
| Credentials | RD, LD | |
| Entity | Individual | |
| Enumeration date | 04/02/2020 | |
| Last updated | 04/02/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KODY M DUCLOS
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KODY M DUCLOS, RD, LD