Individual
LOUIS FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-4800
(270) 527-4910
Mailing address
PO BOX 9150, PADUCAH, KY 42002
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24262
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056871
BCBS
KY
05
—
64242621
—
KY
01
—
930020474
RR MCR
—
Enumeration date
05/10/2006
Last updated
03/03/2017
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