Montgomery, Kia Danielle

Montgomery, Kia Danielle is an sole proprietor health care provider with primary practice located at 350 W Woodrow Wilson Ave Ste 411 , Jackson MS 39213-7681. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Montgomery, Kia Danielle can be contacted via phone (601) 432-3070.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave Ste 411 Jackson MS 39213-7681
Phone: (601) 432-3070
Fax: (601) 364-2659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 893817 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 893817 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 904981 Mississippi

Profile Details

NPI number 1588297873
LBN Legal business name Montgomery, Kia Danielle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2020
Last updated Oct 26th, 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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