NPI 1356992937 · live from the CMS NPI Registry
Kathryn Willis Callahan, MS, RDN, LD
Dietitian, Registered in Boise, ID. National Provider Identifier 1356992937, active.
NPI record
| NPI | 1356992937 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3350 W Americana Ter, Ste 215, Boise, ID 83706 |
| Practice phone | 208-629-2441 |
| Enumerated | September 24, 2019 |
| Last updated | May 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1152 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.