MISTY KAY FORTNER

LUBBOCK, TX
NPI1609152776
Former NameMISTY KAY WILDE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA07530)
Enumeration Date2011-11-02
Last Update Date2025-06-26
Business Address
MISTY KAY FORTNER PA-C
5220 80TH ST
LUBBOCK, TX 79424-2862
Phone number: 806-771-2400
Mailing Address
MISTY KAY FORTNER PA-C
5220 80TH ST
LUBBOCK, TX 79424-2862
Phone number: 806-771-2400
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