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
Fax: (215) 926-3100
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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