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Individual

MS. LINDA KAY FREDENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LN

Contact information

Practice address
1297 BURNS WAY STE 3B, KALISPELL, MT 59901-3162
(406) 751-6728
(406) 758-3263
Mailing address
1297 BURNS WAY STE 3B, KALISPELL, MT 59901-3162
(406) 751-6728
(406) 758-3263

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
127
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
532472
ACADEMY OF NUTRITION AND DIETETICS
01
MED-NUTR-LIC-127
BOARD OF MEDICAL EXAMINERS
MT
Enumeration date
05/30/2019
Last updated
05/30/2019
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