DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KIMBERLY FUNDERBURK EDWARDS, R.D.,L.D

Active Sole Proprietor

MRS. KIMBERLY FUNDERBURK EDWARDS, R.D.,L.D is a Renal Nutrition healthcare provider located in MAITLAND, Florida. NPI 1598964983 is currently active in the NPPES registry. Verify at CMS.

Renal Nutrition · MAITLAND, FL

Registration Details

NPI Number
1598964983
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2007 (19.052889705404 yrs)
Last Updated
Nov 5, 2007
Licenses
565 (FL)
565 (FL)
565 (FL)
Sole Proprietor
Yes

Practice Information

Address
820 N THISTLE LN
MAITLAND, FL, 327513801
Browse FL providers · Browse ZIP 32751
Phone
4073991610
Fax
4076477694
Primary Specialty
Renal Nutrition
133VN1005X
Additional Specialty
Renal Nutrition
Additional Specialty
Nutrition, Education
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.