NPI 1073668067

Robin Dale Fortune

Practitioner Surgical Technologist Elizabethtown, KY

Practice location

Address: 5099 Sportsman Lake Rd, Elizabethtown, KY 42701-8216
Phone: (270) 369-8984
Fax: (270) 369-8562

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence SA050 (KY)

Other Specialist/Technologist, Other providers in Kentucky →

Registry record

NPI: 1073668067
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.