Kathleen Montgomery, MSN, APRN, AGACNP-BC
Nurse Practitioner, Acute Care in Springfield, IL. Individual provider (NPI-1).
NPI number1346832011
StatusActive
Last updated in NPPESSep 4, 2025
Details
- NPI
- 1346832011
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Montgomery
- Credential
- MSN, APRN, AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2021
- Certification date
- Sep 4, 2025
- Last updated
- Sep 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 209.022480 | IL | Yes |
Practice location
747 N Rutledge St Fl 4Springfield, IL 62702-6700
Phone 217-545-8000 · Fax 217-545-7053
Mailing address
Po Box 19639Springfield, IL 62794-9639
Phone 217-545-8000
Other practice locations
701 N 1st St
Springfield, IL 62781-4829
Springfield, IL 62781-4829
Phone 217-528-7541 · Fax 217-606-3057
619 E Mason St Ste 5
Springfield, IL 62701-1080
Springfield, IL 62701-1080
Phone 217-545-8000 · Fax 217-545-2552
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