| Doctor Name: | MRS. KIMBERLY FUNDERBURK EDWARDS |
| NPI Number: | 1598964983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D.,L.D |
| License Number: | 565 |
| Business Practice Address: | 820 N Thistle Ln Maitland, FL - 327513801 |
| Business Phone Number: | 4073991610 |
| Business Fax Number: | 4076477694 |
| Mailing Address: | 820 N Thistle Ln, MAITLAND |
| State: | FL |
| Postal Code: | 327513801 |
| Phone Number: | 4073991610 |
| Fax Number: | 4076477694 |
| NPI Enumeration Date: | 07/16/2007 |
| NPI Last Update Date: | 11/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 565 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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 |