Individual
SCOTT A MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7450 KESSLER ST STE 110, MERRIAM, KS 66204-2550
(913) 831-1003
(913) 831-4801
Mailing address
7450 KESSLER ST STE 110, MERRIAM, KS 66204-2550
(913) 831-1003
(913) 831-4801
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0424895
KS
208800000X
Urology Physician
100279
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100179650B
—
KS
01
—
22048035
BCBS
—
01
—
340016719
RAILROAD MEDICARE
—
Enumeration date
05/12/2006
Last updated
01/15/2021
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