Individual
DR. CANAAN MATTHEW MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2559 NEW HOLT RD, PADUCAH, KY 42001-7503
(270) 558-4741
(270) 558-4742
Mailing address
2559 NEW HOLT RD, PADUCAH, KY 42001-7503
(270) 558-4741
(270) 558-4742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1958DT
KY
Other
Enumeration date
06/18/2014
Last updated
09/19/2024
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