Montgomery, Vicki Lee

Montgomery, Vicki Lee is an individual health care provider with primary practice located at 200 E Chestnut St , Louisville KY 40202-1831. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Montgomery, Vicki Lee can be contacted via phone (502) 629-6000.

Contact Information

Primary practice address
200 E Chestnut St Louisville KY 40202-1831
Phone: (502) 629-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 26424 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26424 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 26424 Kentucky

Profile Details

NPI number 1033193446
LBN Legal business name Montgomery, Vicki Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Oct 26th, 2020 - about 6 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 1033193446 NPPES
Kentucky MEDICAID 64264245
Kentucky MEDICAID 100374690A

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