Individual provider · Type 1 NPI
Keith Allen Montgomery Jr., N.P.
Nurse Practitioner · Adelanto, CA
Practice location
11965 Cactus Rd
Adelanto, CA 92301-4906
Fax (877) 778-9461
Mailing address
625 Fair Oaks Ave Ste 270
South Pasadena, CA 91030-5801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 758758 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95008198 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
- Joseph M Molina MD Professional Corporation Southern CaliforniaNon-Pharmacy Dispensing Site Adelanto, CA NPI 1780061317
- Joseph M Molina MD Professional Corporation-Southern CaliforniaFamily Medicine Physician Adelanto, CA NPI 1538431242
- Molina Healthcare of CalifornaFamily Medicine Physician Adelanto, CA NPI 1215442629
About NPI 1790978617
Keith Allen Montgomery Jr., N.P.'s National Provider Identifier is 1790978617, issued on Aug 23, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Adelanto, CA. The record was last updated on Jul 12, 2018.