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Dr. Kimberly Fedderly, PHARMD,MSHN
Nutrition Support Pharmacist in Kalispell, Montana
NPI 1437575123

Kimberly Fedderly is a Nutrition Support Pharmacist based in Kalispell, MT and is specialized in Nutrition Support. Kimberly Fedderly practices in Kalispell, MT and has the professional credentials of PHARMD,MSHN. The NPI Number for Kimberly Fedderly is 1437575123 and holds a License No. 011376 (Montana).

The current practice location address for Kimberly Fedderly is 103 Ponderosa Ln, Kalispell, MT and can be reached out via phone at 406-270-7957 and via fax at 406-755-8432.

Location: 103 Ponderosa Ln, Kalispell, MT, 59901-6833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437575123
Provider Name
Kimberly Fedderly
Credential
PHARMD,MSHN
Provider Entity Type
Individual
Gender
Female
Address
103 Ponderosa Ln, Kalispell, MT, 59901-6833
Phone Number
406-270-7957
Fax Number
406-755-8432
Provider Enumeration Date
03/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
103 Ponderosa Ln
City
Kalispell
State
Montana
Zip
59901-6833
Phone Number
406-270-7957
Fax Number
406-755-8432
person
Provider Business Mailing Address Details
Address
103 Ponderosa Ln
City
Kalispell
State
Montana
Zip
59901-6833
Phone Number
406-270-7957
Fax Number
406-755-8432
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
4925 (Montana)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Nutrition Support
Taxonomy
1835N1003X
License No.
011376 (Kentucky)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
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