Individual
DEBORAH KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD CDE MSPH CPT
Contact information
Practice address
4851 LAKE SHORE DR, SAINT CLOUD, FL 34772-7577
(407) 973-0037
(407) 957-1186
Mailing address
4851 LAKE SHORE DR, SAINT CLOUD, FL 34772-7577
(407) 973-0037
(407) 957-1186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1612
FL
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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