| Kyle F Fort, MD | |
|
1521 Maplewood Ave, Ronceverte, WV 24970-8026 | |
| (304) 647-5642 | |
| (304) 647-5708 |
| Full Name | Kyle F Fort |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1521 Maplewood Ave, Ronceverte, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578559696 | NPI | - | NPPES |
| 0131032000 | Medicaid | WV | |
| 007500513 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 13512 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle F Fort, MD 176 Dawkins Dr, Lewisburg, WV 24901-9302 Ph: (304) 647-4411 | Kyle F Fort, MD 1521 Maplewood Ave, Ronceverte, WV 24970-8026 Ph: (304) 647-5642 |
Joseph Mouchizadeh, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 1521 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-5642 Fax: 304-647-5708 |
Thomas S Kowalkowski, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 1521 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-5642 Fax: 304-647-5708 |