NPI 1174910442

Kassidy Montgomery

Practitioner Other Technician Fallon, NV

Practice location

Address: 1490 Grimes St, Fallon, NV 89406-3103
Phone: (775) 423-1412
Fax: (775) 423-4054
Mailing address: PO Box 1240, Fallon, NV 89407-1240

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Nevada →

Registry record

NPI: 1174910442
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2015
Record last updated: 23 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.