KIMBERLY KAY KOEVENIG

DAYTONA BEACH, FL
NPI1063719672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: FL  ND 637)
Enumeration Date2011-02-16
Last Update Date2011-02-16
Business Address
Ms. KIMBERLY KAY KOEVENIG RD, LD/N, CDE
311 N CLYDE MORRIS BLVD SUITE 440-OUTPATIENT DIABETES EDUCATION, HALIFAX HEALTH
DAYTONA BEACH, FL 32114-2781
Phone number: 386-258-4829
Mailing Address
Ms. KIMBERLY KAY KOEVENIG RD, LD/N, CDE
1189 SOUTHFORK CT
PORT ORANGE, FL 32129-2494
Phone number: 386-506-7841
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