Individual
MRS. EMILY KATHRYN MONTGOMERY-DEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1220 LEE ST E STE 100, CHARLESTON, WV 25301-1864
(304) 388-1965
Mailing address
2619 LARWOOD DR, CHARLESTON, WV 25302-4319
(304) 741-5984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01215
WV
Other
Enumeration date
09/29/2005
Last updated
09/05/2024
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