Provider Demographics
NPI:1730061573
Name:KAMPS, LENNA (RDN)
Entity type:Individual
Prefix:
First Name:LENNA
Middle Name:
Last Name:KAMPS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:LENNA
Other - Middle Name:
Other - Last Name:AHLERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4912 E PORTSIDE CT
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-7105
Mailing Address - Country:US
Mailing Address - Phone:208-691-4478
Mailing Address - Fax:
Practice Address - Street 1:4912 E PORTSIDE CT
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-7105
Practice Address - Country:US
Practice Address - Phone:208-691-4478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD60729301133V00000X
IDD-948133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered