Clance, Keith Montgomery

Clance, Keith Montgomery is an individual health care provider with primary practice located at 520 N Elam Ave , Greensboro NC 27403-1127. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Clance, Keith Montgomery can be contacted via phone (336) 547-1801.

Contact Information

Primary practice address
520 N Elam Ave Greensboro NC 27403-1127
Phone: (336) 547-1801
Fax: (336) 547-1828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35110 North Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 35110 North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35110 North Carolina

Profile Details

NPI number 1225090889
LBN Legal business name Clance, Keith Montgomery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225090889 NPPES
North Carolina Other 22503 BCBS NC PROVIDER NUMBER
North Carolina Other 67906 BCBS NC PROVIDER NUMBER
North Carolina MEDICAID 8922503 BCBS NC PROVIDER NUMBER
North Carolina Other 1880 BCBS NC PROVIDER NUMBER
North Carolina Other 4230049 BCBS NC PROVIDER NUMBER

Popular Providers