MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) – Registered Dietitian, NPI 1063719672

Registered Dietitian

MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) is a healthcare provider. based in Port orange, Florida. specializing in Registered Dietitian. They hold the professional credentials RD, LD/N, CDE. They hold a License No. ND 637 (FL). The NPI Number for MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) is 1063719672

Main info

Female

Sole Proprietor

Name

MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE)

NPI

1063719672

Phone

(386) 506-7841

Address

1189 SOUTHFORK CT

Enumeration Date

16 February 2011

Last Update Date

16 February 2011

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE)

1189 SOUTHFORK CT
PORT ORANGE, FL 321292494
Phone: (386) 506-7841
Type: Mailing
311 N CLYDE MORRIS BLVD
SUITE 440-OUTPATIENT DIABETES EDUCATION, HALIFAX HEALTH
DAYTONA BEACH, FL 321142781
Phone: (386) 258-4829
Fax: (386) 255-3109
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32129)

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Reviews

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Frequently asked questions

Can I verify MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) with an NPI only?

You can start verification with NPI 1063719672 for MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE), then check state licensing separately.

Can I rely on MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) being an active provider?

As of the registry snapshot, MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) is marked active.

What taxonomy line describes MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE)?

For research purposes, treat MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.

Does MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) list a practice location?

Patients near Port Orange, Florida may find MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) in results; validate coverage separately.

Why does MS. KIMBERLY KAY KOEVENIG (RD, LD/N, CDE) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.