Provider Demographics
NPI:1669626933
Name:MONTGOMERY-YATES, ASHLEY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ANNE
Last Name:MONTGOMERY-YATES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PULMONARY CRITICAL CARE DIVISION
Mailing Address - Street 2:740 S. LIMESTONE, L543
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-323-5045
Mailing Address - Fax:859-247-2418
Practice Address - Street 1:800 ROSE ST HQ101
Practice Address - Street 2:UNIVERSITY OF KENTUCKY
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505
Practice Address - Country:US
Practice Address - Phone:859-323-5045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY43604207RC0200X, 207RP1001X
KY390200000X
KYKY43604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100153830Medicaid
KY43604OtherKENTUCKY STATE BOARD OF MEDICAL LICENSURE
KY43604OtherKENTUCKY STATE BOARD OF MEDICAL LICENSURE
KYFM1570123OtherDEA