Individual
MS. KATHLEEN ANNE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH ST. AND CIVIC CENTER BLVD., PHILADELPHIA, PA 19104
(215) 590-5737
(215) 590-7363
Mailing address
738 ROSELAND AVE, JENKINTOWN, PA 19046-4163
(215) 663-8715
(215) 663-8546
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP008115
PA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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