Individual
STEVEN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2206
(606) 218-7506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA635
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95001848
—
KY
Enumeration date
05/18/2006
Last updated
01/21/2025
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