Individual
ELDRIDGE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 236-7000
Mailing address
151 N EAGLE CREEK DR, STE 100, LEXINGTON, KY 40509-1889
(859) 263-4341
(859) 263-7441
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
16883
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64-168834
—
KY
Enumeration date
08/10/2006
Last updated
07/08/2007
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