Individual
KATELYN FORTENBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 FIELDSTOWN RD STE 124, GARDENDALE, AL 35071-2418
(334) 288-7808
Mailing address
201 DEFENSE HWY STE 260, ANNAPOLIS, MD 21401-7096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
06/30/2026
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