Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Elaine Fortkamp, CST

Individual provider Surgical Technologist · NPI 1427298793

Mary Elaine Fortkamp, CST is a Surgical Technologist in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2009

Practice location Address checks out

1520 S Main St
Dayton, OH 45409-2698
Phone: (937) 223-1279
Fax: (937) 223-9979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 027735 (OH)

Record details

NPI number1427298793
Entity typeIndividual (Type 1)
GenderFemale
Credentials CST
Sole proprietorYes
NPI enumeratedFebruary 26, 2009
Last updated in NPPESFebruary 26, 2009

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