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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KIMBERLY FEDDERLY, PHARMD, MS H.N.

Active Sole Proprietor

DR. KIMBERLY FEDDERLY, PHARMD, MS H.N. is a Nutrition Support Pharmacist healthcare provider located in KALISPELL, Montana. NPI 1437575123 is currently active in the NPPES registry. Verify at CMS.

Nutrition Support Pharmacist · KALISPELL, MT

Registration Details

NPI Number
1437575123
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2014 (12.463868908449 yrs)
Last Updated
Mar 5, 2014
Licenses
011376 (KY)
4925 (MT)
Sole Proprietor
Yes

Practice Information

Address
103 PONDEROSA LN
KALISPELL, MT, 599016833
Browse MT providers · Browse ZIP 59901
Phone
4062707957
Fax
4067558432
Primary Specialty
Nutrition Support Pharmacist
1835N1003X
Additional Specialty
Nutrition Support Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.