Individual
KATHLEEN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7053
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.022480
IL
Other
Enumeration date
02/04/2021
Last updated
09/04/2025
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