Individual
DAVID O MONTGOMERY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 W MAIN ST, DANVILLE, KY 40422-1812
(859) 236-0712
(859) 236-7858
Mailing address
130 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-0712
(859) 236-7858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33467
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365053
ANTHEM
KY
Enumeration date
09/15/2005
Last updated
05/18/2018
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