Individual
KARLY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(546) 198-9348
Mailing address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012916
MI
Other
Enumeration date
12/17/2024
Last updated
08/11/2025
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