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Individual

KERI MONTGOMERY

Active
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Individual

KERI MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
95012403
CA
363LF0000X
Family Nurse Practitioner
203144
NC
363LF0000X
Family Nurse Practitioner
95012403
CA
363LF0000X
Family Nurse Practitioner
APN.0991663-NP
CO
363LF0000X
Family Nurse Practitioner
C-APN.0000068-C-NP
CO

Other

Enumeration date
01/26/2010
Last updated
02/25/2022
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