Individual
MRS. KATHRYN A FEDDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1690 SMOKE RIDGE DR, COLORADO SPRINGS, CO 80919-3489
(719) 599-7289
Mailing address
1690 SMOKE RIDGE DR, COLORADO SPRINGS, CO 80919-3489
(719) 599-7289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AA435511
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA435511
OT LICENSE
CO
Enumeration date
01/05/2011
Last updated
01/05/2011
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