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Search › Florida › 103K00000X

Kellianne Montgomery

NPI 1366716763 · on the registry since 2012

Practice

Address
6331 Roosevelt Blvd Ste 7
Jacksonville, FL 32244
Phone
(904) 538-0713
Fax
(904) 538-0714
Organisation at this address
Holiday Cvs Llc
Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2012-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida