Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
KYLE DAVID MONTGOMERY
Active
Individual
KYLE DAVID MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD064400L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001822599
—
PA
01
—
028886
HIGHMARK BLUE SHIELD
PA
01
—
080164274
RAILROAD MEDICARE
PA
01
—
1458249
AETNA HMO
PA
01
—
2319021
AETNA HMO
PA
01
—
2Y7472
HEALTH NET
PA
01
—
30036753
KEYSTONE MERCY HEALTH PLA
PA
01
—
30036754
KEYSTONE MERCY HEALTH PLA
PA
01
—
497977
COVENTRY HEALTH AMERICA
PA
01
—
5466743
AETNA PPO
PA
01
—
6052
BRAVO HEALTH
PA
Enumeration date
12/15/2005
Last updated
01/13/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up