Individual
MR. CHARLES J FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8101 CAENEN LAKE RD, LENEXA, KS 66215-2556
(913) 859-0290
(913) 285-9845
Mailing address
8101 CAENEN LAKE RD, LENEXA, KS 66215-2556
(913) 859-0290
(913) 285-9845
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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