Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD0000039847 | TN |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2008-01096 | NC |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD39847 | TN |
NPI | 1033217930 |
---|---|
Provider Name | Kimberly B Fortner |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 31/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I32214 | (02) |