Edwards, Kimberly Funderburk

Edwards, Kimberly Funderburk is an sole proprietor health care provider with primary practice located at 820 N Thistle Ln , Maitland FL 32751-3801. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Edwards, Kimberly Funderburk can be contacted via phone (407) 399-1610.

Contact Information

Primary practice address
820 N Thistle Ln Maitland FL 32751-3801
Phone: (407) 399-1610
Fax: (407) 647-7694
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 565 Florida
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 565 Florida
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 565 Florida

Profile Details

NPI number 1598964983
LBN Legal business name Edwards, Kimberly Funderburk
Credentials R.D.,L.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2007
Last updated Nov 5th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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