Susan Clark, MS, RD, LD, CDE

NPI 1124676663 · on the registry since 2019

Practice

Address: 393 E 2nd N
Rexburg, ID 83440
Phone: (208) 356-5401
Organisation at this address: Kylin Kovac Dpm Pllc
Rexburg Medical Center
Madison Co Memorial Hospital
Madison Co Memorial Hospital
Madison Co Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 53

Additional practice sites

450 E Main St, Rexburg, ID

Registry record

Primary taxonomy: Registered Dietitian
133V00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho