Individual
DR. KIMBERLY FEDDERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, MS H.N.
Contact information
Practice address
103 PONDEROSA LN, KALISPELL, MT 59901-6833
(406) 270-7957
(406) 755-8432
Mailing address
103 PONDEROSA LN, KALISPELL, MT 59901-6833
(406) 270-7957
(406) 755-8432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
011376
KY
1835N1003X
Nutrition Support Pharmacist
Primary
4925
MT
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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