Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennisha Montgomery

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205320504

Kennisha Montgomery is a Student in an Organized Health Care Education/Training Program in Azusa, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

901 E Alosta Ave
Azusa, CA 91702-2701
Phone: (626) 815-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1205320504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESJune 20, 2018
Mailing address4407 Oakhollow Dr Apt 74, Sacramento, CA 95842-4012

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