Individual
KIMBERLY RENEE FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
940 HOLLY ST, EXCELSIOR SPRINGS, MO 64024-3518
(816) 615-9030
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02139
MO
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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