Individual
MRS. KIMBERLY E FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 BAPTIST WAY STE 5C, PENSACOLA, FL 32503-2274
(448) 227-6820
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110538
FL
363AS0400X
Surgical Physician Assistant
Primary
9110538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022043800
—
FL
Enumeration date
10/09/2007
Last updated
03/09/2026
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