NPI age
6 years
Enumerated 2020-04-02
● Active
Type 1 · Individual
Kody Michael Duclos, RD, LD
Duclos is 1 of 9 dietitian, registered providers in Boise and 1 of 15 in Idaho.
Primary specialty
Dietitian, Registered
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15 active dietitian, registered providers in Idaho.
NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
2
In the 40% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-04Enumerated in NPPES
2020
2026
Where they practice
Practice location
305 E Jefferson St
Boise, ID 837126231
Mailing address
5176 W Mercury Ct
Boise, ID 837053746
Specialties
-
Dietitian, Registered PrimaryAn individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill...
-
Dietitian, RegisteredAn individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any...
-
Dietitian, RegisteredAn individual who is a Board Certified Specialist in Pediatric Critical Care Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for critically ill infants, children and adolescents....
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 86117056 | COMMISSION ON DIETETIC REGISTRATION |
Practice context
Part of a multi-provider practice. 64 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new dietitian, registered provider has been added in Boise in the last 180 days.
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