Individual provider · Type 1 NPI
Kassie Maxine Montgomery, PNP
Pediatric Nurse Practitioner · Aurora, CO
NPI number
1407329071
Active
Practice location
13123 E 16th Ave
Aurora, CO 80045-7106
Mailing address
828 N Broadway Apt 526
Denver, CO 80203-2792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | APN.0994369-NP (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1407329071
Kassie Maxine Montgomery, PNP's National Provider Identifier is 1407329071, issued on Jan 7, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Aurora, CO. The record was last updated on Jan 7, 2019.