Individual
KATHERINE L. FEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 RAY C HUNT DR, 2ND FLOOR, STE 2200, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2153
(434) 243-6522
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101258249
VA
207Y00000X
Otolaryngology Physician
ME119721
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2009
Last updated
09/08/2015
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