Montgomery, Kathleen Jo

Montgomery, Kathleen Jo is an individual health care provider with primary practice located at 3620 Court Drive , Zanesville OH 43701. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Montgomery, Kathleen Jo can be contacted via phone (740) 454-1248.

Contact Information

Primary practice address
3620 Court Drive Zanesville OH 43701
Phone: (740) 454-1248
Fax: (740) 454-8183
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN241205 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.10766-NP Ohio

Profile Details

NPI number 1629200902
LBN Legal business name Montgomery, Kathleen Jo
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2009
Last updated May 23rd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629200902 NPPES
Ohio MEDICAID 3026988
Ohio MEDICAID 3810019285
Ohio Other P00914840

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