Individual
MRS. KIMBERLY BENSON FORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.,C.
Contact information
Practice address
3471 CAMPUS DR, IJAMSVILLE, MD 21754-9416
(240) 236-7600
Mailing address
15 DERBY PL, CHARLES TOWN, WV 25414-3500
(304) 728-6185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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