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Mr. Keith Allen Montgomery JR., NP
Nurse Practitioner in Adelanto, California
NPI 1790978617

Keith Allen Montgomery JR. is a Nurse Practitioner based in South Pasadena, CA. Keith Allen Montgomery JR. practices in Adelanto, CA and has the professional credentials of NP. The NPI Number for Keith Allen Montgomery JR. is 1790978617 and holds a License No. 758758 (California).

The current practice location address for Keith Allen Montgomery JR. is 11965 Cactus Rd, Adelanto, CA and can be reached out via phone at 760-561-6081 and via fax at 877-778-9461.

Location: 11965 Cactus Rd, Adelanto, CA, 91030-5801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790978617
Provider Name
Keith Allen Montgomery JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
11965 Cactus Rd, Adelanto, CA, 91030-5801
Phone Number
760-561-6081
Fax Number
877-778-9461
Provider Enumeration Date
08/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11965 Cactus Rd
City
Adelanto
State
California
Zip
92301-4906
Phone Number
760-561-6081
Fax Number
877-778-9461
person
Provider Business Mailing Address Details
Address
11965 Cactus Rd
City
Adelanto
State
California
Zip
92301-4906
Phone Number
760-561-6081
Fax Number
877-778-9461
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
95008198 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
758758 (California)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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