Individual
MR. KINSEY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHLEBOTOMY/LAB ASST
Contact information
Practice address
7505 PINES RD, SUITE 1200 D, SHREVEPORT, LA 71129-3935
(318) 626-5353
(318) 626-5353
Mailing address
7505 PINES RD, SUITE 1200 D, SHREVEPORT, LA 71129-3935
(318) 626-5353
(318) 626-5353
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
CLP.202263-LAB
LA
Other
Enumeration date
05/31/2015
Last updated
06/08/2015
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