Montgomery, Kathleen

Montgomery, Kathleen is an individual health care provider with primary practice located at 747 N Rutledge St Fl 4 , Springfield IL 62702-6700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Montgomery, Kathleen can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
747 N Rutledge St Fl 4 Springfield IL 62702-6700
Fax: (217) 545-7053
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209.022480 Illinois

Profile Details

NPI number 1346832011
LBN Legal business name Montgomery, Kathleen
Credentials MSN, APRN, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2021
Last updated Sep 4th, 2025 - 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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