MARY KATHRYN FORT NP NPI 1366902066

NPI Information

Mary Kathryn Fort, NP is a family nurse practitioner in Shreveport, LA with 6 years of experience. Mary Kathryn Fort, NP NPI is 1366902066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1541 KINGS HWY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 626-0000

The NPI 1366902066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 2/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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