Montgomery, Kevin

Montgomery, Kevin is an individual health care provider with primary practice located at 340 Boatner Rd , Eglin Afb FL 32542-1391. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Montgomery, Kevin can be contacted via phone (850) 883-9223.

Contact Information

Primary practice address
340 Boatner Rd Eglin Afb FL 32542-1391
Phone: (850) 883-9223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC010470 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005095 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1073023636
LBN Legal business name Montgomery, Kevin
Credentials PA-C, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2017
Last updated Oct 15th, 2021 - about 5 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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