Provider Demographics
NPI:1326530932
Name:KEES, LINDA (RDN, CNSC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:KEES
Suffix:
Gender:F
Credentials:RDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5875 N ROSEPOINT PL
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-0925
Mailing Address - Country:US
Mailing Address - Phone:208-939-2980
Mailing Address - Fax:
Practice Address - Street 1:520 S EAGLE RD STE 1223
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-6355
Practice Address - Country:US
Practice Address - Phone:208-706-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID723155133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
723155OtherACADEMY OF NUTRITION AND DIETETICS