Individual
KYLA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LANIER AVE W STE 603, FAYETTEVILLE, GA 30214-7644
(678) 884-5085
Mailing address
1095 CAMERON MILL RD, LAGRANGE, GA 30240-6354
(678) 884-5085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013774
GA
Other
Enumeration date
09/19/2025
Last updated
10/24/2025
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