Individual
MRS. KATELYN PATRICIA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-6410
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056937
PA
363A00000X
Physician Assistant
PA031190
DC
Other
Enumeration date
07/28/2014
Last updated
05/24/2021
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