Montgomery, Keri

Montgomery, Keri is an individual health care provider with primary practice located at 6 Woodland Road Suite 304, St. Helena CA 94574. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Montgomery, Keri can be contacted via phone (707) 963-7200.

Contact Information

Primary practice address
6 Woodland Road Suite 304 St. Helena CA 94574
Phone: (707) 963-7200
Fax: (707) 963-7203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 203144 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X C-APN.0000068-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0991663-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95012403 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 95012403 California

Profile Details

NPI number 1881925154
LBN Legal business name Montgomery, Keri
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2010
Last updated Feb 25th, 2022 - about 2 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 1881925154 NPPES
North Carolina MEDICAID 7005510

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