Individual
ZACHARY FORTENBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(270) 205-0344
Mailing address
108 SOUTHRIDGE DR, SOMERSET, KY 42503-4841
(270) 205-0344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R6778
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2023
Last updated
10/20/2024
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