Individual provider · Type 1 NPI

Kevin Douglas Montgomery

Registered Nurse · University Place, WA

NPI number 1124994975 Active

Practice location

2901 Bridgeport Way W
University Place, WA 98466-4614

Call (253) 208-2061 Map

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN173770 (AZ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1124994975

Kevin Douglas Montgomery's National Provider Identifier is 1124994975, issued on Oct 16, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in University Place, WA. The record was last updated on Oct 16, 2025.