MS. Kimberly Kay Koevenig, RD, LD/N, CDE

NPI #1063719672 in Daytona Beach, Florida

Provider Information

NPI Number: 1063719672
Entity Type: Individual
Name: MS. Kimberly Kay Koevenig, RD, LD/N, CDE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LD/N, CDE
Enumeration Date: Feb 16, 2011
Last Updated: Feb 16, 2011

Practice Location

Address: 311 N CLYDE MORRIS BLVD
Address 2: SUITE 440-OUTPATIENT DIABETES EDUCATION, HALIFAX HEALTH
City: Daytona Beach
State: Florida
ZIP Code: 32114-2781
Phone: (386) 258-4829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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