Individual provider · Type 1 NPI

Keshea Lanell Montgomery, BS- QP

Driver · Greensboro, NC

NPI number 1992009757 Active

Practice location

2406 Pineview Dr
Greensboro, NC 27407-4730

Call (336) 327-6862 Map

Mailing address

2406 Pineview Drive
Greensboro, NC 27407

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X24312062 (NC)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1992009757

Keshea Lanell Montgomery, BS- QP's National Provider Identifier is 1992009757, issued on Jan 7, 2011. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Greensboro, NC. The record was last updated on Jan 7, 2011.