Kyle Bruce Fortson

Case Manager/Care Coordinator · Arcadia, CA

Individual Active NPI

NPI number 1659678167

Practice location

12310 Lower Azusa Rd
Arcadia, CA 91006-5872
Phone
(626) 579-8506
Fax
(626) 433-1029

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NPI record

NPI
1659678167
Entity type
Individual (Type 1)
Enumeration date
February 17, 2011
Last updated
April 8, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Kyle Fortson

Kyle Bruce Fortson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 12310 Lower Azusa Rd, Arcadia, CA 91006-5872. The NPI number 1659678167 was assigned on February 17, 2011 and the record was last updated on April 8, 2011.

Frequently asked questions

What is the NPI number of Kyle Bruce Fortson?

The NPI number is 1659678167.

What is the phone number of Kyle Fortson?

The phone number listed for the practice location is (626) 579-8506.

Where is Kyle Fortson located?

12310 Lower Azusa Rd, Arcadia, CA 91006-5872.

What is the taxonomy code for Kyle Fortson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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