Montgomery, Kacey A

Montgomery, Kacey A is an individual health care provider with primary practice located at 4901 Market Place Rd , Pensacola FL 32504-8986. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Montgomery, Kacey A can be contacted via phone (850) 484-4080.

Contact Information

Primary practice address
4901 Market Place Rd Pensacola FL 32504-8986
Phone: (850) 484-4080
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X FE60217645 Washington
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME109250 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME109250 Florida

Profile Details

NPI number 1447455977
LBN Legal business name Montgomery, Kacey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Oct 12th, 2016 - about 10 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 1447455977 NPPES
Florida MEDICAID 003775100

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