Dr KIMBERLY PHILLIPS FORTENBERRY CNA is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2000.
YOUNGS PROFESSIONAL SERVICES LLC
1100 ANDRE ST
SUITE 300
NEW IBERIA
LA
705632159
Tel: 3373649225
| Npi | 1750345005 |
| Pac Id | 8022030162 |
| Professional Enrollment Id | I20060103000647 |
| Last Name | FORTENBERRY |
| First Name | KIMBERLY |
| Middle Name | PHILLIPS |
| Suffix | |
| Gender | F |
| Credential | CNA |
| Medical School Name | OTHER |
| Graduation Year | 2000 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Group Practice Pac Id | 2163524992 |
| Number Of Group Practice Members | 214 |
| Line 1 Street Address | 1100 ANDRE ST |
| Line 2 Street Address | SUITE 300 |
| Marker Of Address Line 2 Suppression | |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 705632159 |
| Phone Number | 3373649225 |
| Hospital Affiliation Ccn 1 | 250019 |
| Hospital Affiliation Lbn 1 | MEMORIAL HOSPITAL AT GULFPORT |
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| Professional Accepts Medicare Assignment | Y |
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