Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH FORTIER, M.D.
Active Sole ProprietorKEITH FORTIER, M.D. is a Obstetrics & Gynecology healthcare provider located in WATERFORD, Vermont. NPI 1740390053 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · WATERFORD, VT
Registration Details
- NPI Number
- 1740390053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.984521057575 yrs)
- Last Updated
- Jan 28, 2010
- License
-
042-0006155 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
594 COPENHAGEN RDWATERFORD, VT, 058199055Browse VT providers · Browse ZIP 05819
- Phone
- 8027488573
- Fax
- 7077348573
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.