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KIMBERLY DAWN MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
1400 8TH AVE BLDG C, SUITE 3001, FT WORTH, TX 76104-4110
(817) 922-2173
(817) 922-1047
Mailing address
1001 COLLEGE AVE STE A, FT WORTH, TX 76104-3000
(817) 336-6000
(817) 336-2072

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1074250
TX
364SA2200X
Adult Health Clinical Nurse Specialist
665885
TX

Other

Enumeration date
06/28/2013
Last updated
08/18/2023
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