Fortier, Kimberly E

Fortier, Kimberly E is an individual health care provider with primary practice located at 1717 N E St Ste 205 , Pensacola FL 32501-6336. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Fortier, Kimberly E can be contacted via phone (850) 437-8810.

Contact Information

Primary practice address
1717 N E St Ste 205 Pensacola FL 32501-6336
Phone: (850) 437-8810
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110538 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9110538 Florida

Profile Details

NPI number 1407044027
LBN Legal business name Fortier, Kimberly E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Apr 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407044027 NPPES
Florida MEDICAID 022043800

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