Individual
DR. KACEY A MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 MARKET PLACE RD, PENSACOLA, FL 32504-8986
(850) 484-4080
Mailing address
PO BOX 11637, PENSACOLA, FL 32524-1637
(850) 484-4080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME109250
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
FE60217645
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME109250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003775100
—
FL
Enumeration date
06/15/2007
Last updated
10/12/2016
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