Montgomery, Keith Allen

Montgomery, Keith Allen is an individual health care provider with primary practice located at 11965 Cactus Rd , Adelanto CA 92301-4906. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Montgomery, Keith Allen can be contacted via phone (760) 561-6081.

Contact Information

Primary practice address
11965 Cactus Rd Adelanto CA 92301-4906
Phone: (760) 561-6081
Fax: (877) 778-9461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 758758 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95008198 California

Profile Details

NPI number 1790978617
LBN Legal business name Montgomery, Keith Allen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2007
Last updated Jul 12th, 2018 - about 6 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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