MARY KATHRYN FORT

SHREVEPORT, LA
NPI1366902066
Former NameMARY KATHRYN ACKLIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP10094)
Enumeration Date2019-03-20
Last Update Date2020-02-19
Business Address
MARY KATHRYN FORT NP
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
MARY KATHRYN FORT NP
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number:
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