IndividualActive
Keith Fortier, M.D.
NPI 1740390053 · Obstetrics & Gynecology Physician · Waterford, VT
Provider details
- NPI number
- 1740390053
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 042-0006155 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
594 Copenhagen Rd
Waterford, VT 05819-9055
Phone: (802) 748-8573
Fax: (707) 734-8573
Approximate (ZIP-level) locationGet directions
Mailing address
594 Copenhagen Rd
Waterford, VT 05819-9055
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2010-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.