Koevenig, Kimberly Kay

Koevenig, Kimberly Kay is an sole proprietor health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 440-Outpatient Diabetes Education, Halifax Health, Daytona Beach FL 32114-2781. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Koevenig, Kimberly Kay can be contacted via phone (386) 258-4829.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Suite 440-Outpatient Diabetes Education, Halifax Health Daytona Beach FL 32114-2781
Phone: (386) 258-4829
Fax: (386) 255-3109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND 637 Florida

Profile Details

NPI number 1063719672
LBN Legal business name Koevenig, Kimberly Kay
Credentials RD, LD/N, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2011
Last updated Feb 16th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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