Individual
KESTA L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 523-1122
(208) 523-6025
Mailing address
3910 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7596
(208) 523-1122
(208) 523-6025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
01/28/2017
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