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Individual

KAYLA HARTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
100 E IDAHO ST, BOISE, ID 83712-6267
(208) 381-2711
(208) 381-4025
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4671648
ID
133V00000X
Registered Dietitian
86346949
AZ

Other

Enumeration date
06/17/2024
Last updated
04/21/2026
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