Provider Demographics
NPI:1952138232
Name:MONTGOMERY-HUNTER, KENYA
Entity type:Individual
Prefix:
First Name:KENYA
Middle Name:
Last Name:MONTGOMERY-HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3504 W CATON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-3004
Mailing Address - Country:US
Mailing Address - Phone:443-723-4498
Mailing Address - Fax:
Practice Address - Street 1:5011 DENMORE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5806
Practice Address - Country:US
Practice Address - Phone:443-552-1454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30AL3941374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide