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Contact Information

KATHLEEN J MONTGOMERY, CRNP
3620 COURT DRIVE
ZANESVILLE, OH43701
 Phone: 740-454-1248
 Fax: 740-454-8183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

General Practice

163WG0000X
Indicates primary specialty

NPI Profile & details for KATHLEEN J MONTGOMERY · (Female)

NPI # 1629200902
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 08/20/2009
Last updated 05/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OH License # COA.10766-NP
  • OH License # RN241205
  • OH Medicaid 3026988
  • WV Medicaid 3810019285
  • OH Other P00914840 RR MEDICARE
Hospital affiliation(s)
  • GENESIS HEALTHCARE SYSTEM - (Acute Care)
    2951 MAPLE AVENUE
    ZANESVILLE, OH 43701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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