KEVIN MONTGOMERY PA-C LPC NPI 1073023636

NPI Information

NPI: 1073023636
Provider Name: KEVIN MONTGOMERY, PA-C, LPC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
340 BOATNER RD
EGLIN AFB, FL
ZIP 32542
Phone: (850) 883-9223
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Kevin Montgomery, PA-C, LPC is a medical physician assistant in Eglin Afb, FL. Kevin Montgomery, PA-C, LPC NPI is 1073023636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

340 BOATNER RD
EGLIN AFB, FL
ZIP 32542-391
Phone: (850) 883-9223

The enumeration date for this NPI number is 10/9/2017 and was last updated on 10/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC010470	GEORGIA	No
2	101YM0800X	Counselor	Mental Health	005095	GEORGIA	No
3	101YM0800X	Counselor	Mental Health			No
4	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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