Individual
MRS. KYMBERLEE A MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
216 N BROAD ST, 4TH FLOOR, PHILADELPHIA, PA 19102-1121
(215) 762-3600
(215) 762-4323
Mailing address
1601 CHERRY ST STE 1012, PHILA, PA 19102-1320
(267) 359-5638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN295794L
PA
363L00000X
Nurse Practitioner
Primary
VP003479G
PA
Other
Enumeration date
01/23/2007
Last updated
10/08/2020
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