Montgomery, Travis H

Montgomery, Travis H is an sole proprietor health care provider with primary practice located at 222 Medical Cir , Morehead KY 40351-1179. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Montgomery, Travis H can be contacted via phone (606) 783-6520.

Contact Information

Primary practice address
222 Medical Cir Morehead KY 40351-1179
Phone: (606) 783-6520
Fax: (606) 783-6489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1714 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1714 Kentucky

Profile Details

NPI number 1316210040
LBN Legal business name Montgomery, Travis H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2012
Last updated Mar 5th, 2019 - about 7 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 1316210040 NPPES
Kentucky MEDICAID 7100216070

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