Montgomery, Keri H

Montgomery, Keri H is an individual health care provider with primary practice located at 3900 Washington Ave Ste 100, Evansville IN 47714-0550. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Montgomery, Keri H can be contacted via phone (812) 485-6694.

Contact Information

Primary practice address
3900 Washington Ave Ste 100 Evansville IN 47714-0550
Phone: (812) 485-6694
Fax: (812) 485-7678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71005783A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71005783A Indiana

Profile Details

NPI number 1649672056
LBN Legal business name Montgomery, Keri H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Jul 17th, 2024 - about last year

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 1649672056 NPPES
Indiana MEDICAID 201324670

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