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

Kevin Douglas Montgomery

Individual provider Registered Nurse · NPI 1124994975

Kevin Douglas Montgomery is a Registered Nurse in University Place, Washington. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

2901 Bridgeport Way W
University Place, WA 98466-4614
Phone: (253) 208-2061
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN173770 (AZ)

Record details

NPI number1124994975
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

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