Individual
LINDSAY DIONE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
617 23RD ST STE 19, ASHLAND, KY 41101-2845
(606) 325-2221
(606) 324-1326
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1608
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001087206
ANTHEM BCBS
KY
05
—
0224399
—
OH
05
—
7100387130
—
KY
Enumeration date
06/28/2010
Last updated
04/24/2024
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