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Individual

KATIE M HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5260
(208) 706-5855
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1081701
ID
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/26/2024
Last updated
05/04/2026
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