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Autumn Kathryn Montgomery, FNP-C
Family Nurse Practitioner in Kokomo, Indiana
NPI 1770065187

Autumn Kathryn Montgomery is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Autumn Kathryn Montgomery practices in Kokomo, IN and has the professional credentials of FNP-C. The NPI Number for Autumn Kathryn Montgomery is 1770065187 and holds a License No. 71008480A (Indiana).

The current practice location address for Autumn Kathryn Montgomery is 3518 S Lafountain St, Kokomo, IN and can be reached out via phone at 765-453-4667.

Location: 3518 S Lafountain St, Kokomo, IN, 46835-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770065187
Provider Name
Autumn Kathryn Montgomery
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
3518 S Lafountain St, Kokomo, IN, 46835-3328
Phone Number
765-453-4667
Fax Number
Provider Enumeration Date
08/31/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71008480A 01 IN APRN PRESCRIPTIVE AUTHORITY
institution
Provider Business Practice Location Address Details
Address
3518 S Lafountain St
City
Kokomo
State
Indiana
Zip
46902-3803
Phone Number
765-453-4667
Fax Number
person
Provider Business Mailing Address Details
Address
3518 S Lafountain St
City
Kokomo
State
Indiana
Zip
46902-3803
Phone Number
765-453-4667
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71008480A (Indiana)
Definition
Definition to come...
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