Individual
MR. KENNETH M FORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
52 WILSON ST, MILFORD, CT 06461-2538
(203) 535-0018
Mailing address
52 WILSON ST, MILFORD, CT 06461-2538
(203) 535-0018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4512
CT
Other
Enumeration date
10/06/2010
Last updated
07/23/2013
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