Individual
AMY KIMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13101 S DIXIE HWY STE 420, PINECREST, FL 33156-6530
(786) 204-4203
(786) 576-0404
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 204-4203
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4575
FL
Other
Enumeration date
02/20/2014
Last updated
11/16/2022
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