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Individual

SONYA C FORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
205 E ADAIR ST, SMITHLAND, KY 42081-9164
(270) 928-2146
(270) 928-4492
Mailing address
3175 LITTLE BEAR HWY, GILBERTSVILLE, KY 42044-9208
(270) 564-5988

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA540
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000317162
BLUE CROSS & BLUE SHIELD
01
11480494
CAQH
05
7100046630
KY
Enumeration date
10/17/2006
Last updated
11/02/2015
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