Individual
MS. AMY LYNN FEDEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1717 SHAFFER ST, KALAMAZOO, MI 49048-1647
(269) 226-5965
(269) 226-5056
Mailing address
5943 STADIUM DR, FOOD AND NUTRITION DEPARTMENT BA1565, KALAMAZOO, MI 49009-3016
(269) 552-2836
(269) 552-2964
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86012347
MI
133V00000X
Registered Dietitian
LD004098
GA
Other
Enumeration date
08/07/2013
Last updated
12/05/2014
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