Provider Demographics
NPI:1962480905
Name:MONTGOMERY, KATHRYN FRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:FRICK
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6705 FIELDCREST DR
Mailing Address - Street 2:
Mailing Address - City:DELMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15626-7209
Mailing Address - Country:US
Mailing Address - Phone:724-327-7246
Mailing Address - Fax:724-327-7247
Practice Address - Street 1:1 PPG PLACE
Practice Address - Street 2:31ST FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222
Practice Address - Country:US
Practice Address - Phone:724-327-7246
Practice Address - Fax:724-327-7247
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA090306Medicare ID - Type Unspecified
PAV04745Medicare UPIN