Kathleen Anne Montgomery CRNP

NPI 1194749424 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1194749424
Gender Female
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
34TH ST. AND CIVIC CENTER BLVD.
PHILADELPHIA PA, 19104, US
Phone (215) 590-5737
Fax (215) 590-7363
Business Location
738 ROSELAND AVE
JENKINTOWN PA, 19046-4163, US
Phone (215) 663-8715
Fax (215) 663-8546
Toxanomy
Taxonomy Code 363LP0200X
License State Pennsylvania
License Number SP008115
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According to our database, Ms. Kathleen Anne Montgomery CRNP NPI is 1194749424, taxonomy code is 363LP0200X and license number is SP008115, license state is located at Pennsylvania. Kathleen Anne Montgomery CRNP physically located at 34th St. And Civic Center Blvd., Philadelphia PA, 19104. NPI Number Kathleen Anne Montgomery CRNP has the Individual type.

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1194749424 NPI number is provided on an as is basis without warranty of any kind. 1194749424 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Anne Montgomery CRNP are for informational purposes only.