Individual
KYLE BRADEN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 BOWMAN DRIVE, LOWER LEVEL 2, VOORHEES, NJ 08043
(856) 247-2160
(856) 247-2165
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00465200
NJ
Other
Enumeration date
12/04/2017
Last updated
04/07/2026
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