Individual provider · Type 1 NPI
Kelly Nicole Montgomery, FNP
Psychiatric/Mental Health Nurse Practitioner · Medina, OH
NPI number
1609466770
Active
Practice location
3591 Reserve Commons Dr Ste 100
Medina, OH 44256-5334
Fax (216) 450-1614
Mailing address
25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0028297 (OH) |
| Nurse Practitioner | 363L00000X | APRN.CNP.0028297 (OH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0028297 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
4 other providers at this address
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About NPI 1609466770
Kelly Nicole Montgomery, FNP's National Provider Identifier is 1609466770, issued on Jan 22, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Medina, OH. The record was last updated on Feb 23, 2021.