Individual
KELLY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-7536
Mailing address
2036 CARMEL DR, JAMISON, PA 18929-1437
(267) 615-4813
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT229002
PA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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