Kimberly Funderburk Edwards in Maitland - Nutrition, Renal
Kimberly Funderburk Edwards - NPI 1598964983
Kimberly Funderburk Edwards is a Nutrition, Renal in Maitland, Florida. Kimberly Funderburk Edwards practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Kimberly Funderburk Edwards is 1598964983. The last update date is 2007-11-05.
Kimberly Funderburk Edwards's current location address is 820 N Thistle Ln, Maitland, Florida. You can contact this provider via phone number 4073991610 and fax number 4076477694. The mailing address for Kimberly Funderburk Edwards is 820 N Thistle Ln, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Funderburk Edwards |
|---|---|
| Address | 820 N Thistle Ln, Maitland, Florida |
| Phone Number | 4073991610 |
| Fax Number | 4076477694 |
| Sole Proprietor | Y |
| Credentials | R.D.,L.D |
NPI Number Detail
| NPI Number | 1598964983 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2007-11-05 |
Provider Mailing Address Detail
| Address | 820 N Thistle Ln |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327513801 |
| Phone Number | 4073991610 |
| Fax Number | 4076477694 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | 565 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the unique 10-digit identification code issued to Kimberly Funderburk Edwards by the Centers for Medicare & Medicaid Services?
The Kimberly Funderburk Edwards has been assigned the NPI (National Provider Identifier) 1598964983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kimberly Funderburk Edwards's physical address?
The Kimberly Funderburk Edwards is physically located at 820 N Thistle Ln, in the city of Maitland, FL, with the postal code 327513801.
What is the Kimberly Funderburk Edwards's specialty and taxonomy code?
The Kimberly Funderburk Edwards's specialty is Nutrition, Renal, and the corresponding taxonomy code is 133Vn1005X.
On what date did the Kimberly Funderburk Edwards receive its 1598964983 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Funderburk Edwards was assigned its 1598964983 by the Centers for Medicare & Medicaid Services on 2007-07-16.
When was the information related to Kimberly Funderburk Edwards most recently updated or refreshed?
The details pertaining to the Kimberly Funderburk Edwards, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-05.
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