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Individual

KIMBERLY FORTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
437 ALEXIAN WAY, SIGNAL MOUNTAIN, TN 37377-1954
(423) 886-0100
Mailing address
9516 DAYTON PIKE APT 216, SODDY DAISY, TN 37379-4760

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5573
TN
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
07/15/2019
Last updated
07/15/2019
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