Individual
SANDRA KIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1105 2ND ST S, NAMPA, ID 83651-3911
(208) 250-0836
(888) 972-6280
Mailing address
823 W MOUNTAIN ASH LOOP, NAMPA, ID 83686-2681
(208) 250-0836
(888) 972-6280
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-789
ID
Other
Enumeration date
05/06/2014
Last updated
11/06/2023
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