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Individual
MRS. KIMBERLY FUNDERBURK EDWARDS
Active
Individual
MRS. KIMBERLY FUNDERBURK EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
565
FL
133V00000X
Registered Dietitian
565
FL
133VN1005X
Renal Nutrition Registered Dietitian
Primary
565
FL
Other
Enumeration date
07/16/2007
Last updated
11/05/2007
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