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Organization
FORTUNE FIRST ASSIST LLC
Active
Organization
FORTUNE FIRST ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN FORTUNE SAC (PRESIDENT)
(270) 369-8984
Entity
Organization
Contact information
Practice address
5099 SPORTSMAN LAKE RD, ELIZABETHTOWN, KY 42701-8216
(270) 369-8984
(270) 369-8562
Mailing address
5099 SPORTSMANS LAKE RD, ELIZABETHTOWN, KY 42701
(270) 369-8984
(270) 369-8562
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215944
BLUE CROSS BLUE SHIELD
KY
Enumeration date
04/27/2007
Last updated
08/22/2020
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