Individual
DR. ANDREW A. FEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78-6831 ALI'I DRIVE, SUITE 422, KAILUA-KONA, HI 96740
(808) 747-8321
(808) 323-2119
Mailing address
78-6831 ALI'I DRIVE, SUITE 328, KAILUA-KONA, HI 96740
(808) 747-8321
(808) 331-8682
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD13027
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HI03677
—
HI
Enumeration date
12/28/2006
Last updated
06/12/2012
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