Montgomery, Kelly Nicole

Montgomery, Kelly Nicole is an individual health care provider with primary practice located at 3591 Reserve Commons Dr Ste 100 , Medina OH 44256-5334. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Montgomery, Kelly Nicole can be contacted via phone (216) 450-1613.

Contact Information

Primary practice address
3591 Reserve Commons Dr Ste 100 Medina OH 44256-5334
Phone: (216) 450-1613
Fax: (216) 450-1614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.0028297 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.0028297 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0028297 Ohio

Profile Details

NPI number 1609466770
LBN Legal business name Montgomery, Kelly Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2021
Last updated Feb 23rd, 2021 - about 3 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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