| Doctor Name: | KIMBERLY CAMILLE EDWARDS |
| NPI Number: | 1447691274 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | 912518 |
| Business Practice Address: | 45040 Promise Rd Lake Elsinore, CA - 925321500 |
| Business Phone Number: | 9513304360 |
| Business Fax Number: | 8889784430 |
| Mailing Address: | 500 W Graham Ave, #858 LAKE ELSINORE |
| State: | CA |
| Postal Code: | 925303610 |
| Phone Number: | 9513304430 |
| Fax Number: | 8889784430 |
| NPI Enumeration Date: | 07/09/2013 |
| NPI Last Update Date: | 03/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 912518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |