Individual
KERI FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1781 FERGUSON RD, ALLISON PARK, PA 15101-3201
(919) 745-7324
Mailing address
1781 FERGUSON RD, ALLISON PARK, PA 15101-3201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN667945
PA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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