Individual
MR. KEITH ALLEN MONTGOMERY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
11965 CACTUS RD, ADELANTO, CA 92301-4906
(760) 561-6081
(877) 778-9461
Mailing address
625 FAIR OAKS AVE STE 270, SOUTH PASADENA, CA 91030-5801
(626) 346-2455
(626) 639-3005
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
758758
CA
363L00000X
Nurse Practitioner
Primary
95008198
CA
Other
Enumeration date
08/23/2007
Last updated
07/12/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us