Montgomery, Kyle David
Montgomery, Kyle David is an individual health care provider with primary practice located at 2317 E Westmoreland St , Phila PA 19134-4529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Montgomery, Kyle David can be contacted via phone (215) 926-3115.Contact Information
Primary practice address
2317 E Westmoreland St
Phila PA 19134-4529
Phone: (215) 926-3115
Fax: (215) 926-3100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD064400L | Pennsylvania |
Profile Details
NPI number | 1679559223 |
---|---|
LBN Legal business name | Montgomery, Kyle David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2005 |
Last updated | Jan 13th, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679559223 | NPPES |
Pennsylvania | Other | 080164274 | RAILROAD MEDICARE |
Pennsylvania | Other | 30036753 | RAILROAD MEDICARE |
Pennsylvania | Other | 2319021 | RAILROAD MEDICARE |
Pennsylvania | Other | 6052 | RAILROAD MEDICARE |
Pennsylvania | Other | 2Y7472 | RAILROAD MEDICARE |
Pennsylvania | Other | 028886 | RAILROAD MEDICARE |
Pennsylvania | Other | 497977 | RAILROAD MEDICARE |
Pennsylvania | Other | 30036754 | RAILROAD MEDICARE |
Pennsylvania | Other | 5466743 | RAILROAD MEDICARE |
Pennsylvania | MEDICAID | 001822599 | RAILROAD MEDICARE |
Pennsylvania | Other | 1458249 | RAILROAD MEDICARE |
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