Individual provider · Type 1 NPI

Kimberly E. Fortier, PA-C

Surgical Physician Assistant · Pensacola, FL

NPI number 1407044027 Active

Practice location

125 Baptist Way Ste 5C
Pensacola, FL 32503-2274

Mailing address

PO Box 95590
South Jordan, UT 84095-0590

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9110538 (FL)
Surgical Physician Assistant Primary 363AS0400X9110538 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1407044027

Kimberly E. Fortier, PA-C's National Provider Identifier is 1407044027, issued on Oct 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pensacola, FL. The record was last updated on Mar 9, 2026.