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

Mrs. Kymberlee A Montgomery, CRNP

Individual provider Registered Nurse · NPI 1033264007

Mrs. Kymberlee A Montgomery, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

216 N Broad St 4th Fl
Philadelphia, PA 19102-1121
Phone: (215) 762-3600
Fax: (215) 762-4323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence VP003479G (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN295794L (PA)

Record details

NPI number1033264007
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESOctober 8, 2020
Certification dateOctober 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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