MATTHEW FORTIER

LOUISVILLE, KY
NPI1104282805
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3010010)
Enumeration Date2016-01-11
Last Update Date2016-01-11
Business Address
-- MATTHEW FORTIER CRNA
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217-1318
Phone number: 502-636-7160
Mailing Address
-- MATTHEW FORTIER CRNA
425 LEWIS HARGETT CIR
LEXINGTON, KY 40503-3590
Phone number: 859-268-1030
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