NPI 1295185908 · live from the CMS NPI Registry
Keisha Angell, MS, RDN, LDN
Dietitian, Registered in Twin Falls, ID. National Provider Identifier 1295185908, active.
NPI record
| NPI | 1295185908 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 801 Pole Line Rd W, Twin Falls, ID 83301 |
| Practice phone | 208-814-4126 |
| Mailing address | 445 Lacasa Loop, Twin Falls, ID 83301 |
| Enumerated | June 14, 2016 |
| Last updated | June 14, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-842 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.