KEVIN DOUGLAS MONTGOMERY
NPI 1124994975
Registered Nurse in University Place, WA

Q: What is Kevin Montgomery's NPI number?

The NPI number for Kevin Montgomery is 1124994975. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Q: What is Kevin Montgomery's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Montgomery was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2025

2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466(253) 208-2061 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Douglas Montgomery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN DOUGLAS MONTGOMERY (NPI 1124994975) is an individual registered nurse in University Place, Washington, licensed in Arizona (RN173770) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1124994975

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameKEVIN DOUGLAS MONTGOMERY

Location Address2901 BRIDGEPORT WAY WUniversity Place, WA 98466-4614

Mailing Address2901 Bridgeport Way WUniversity Place, WA 98466-4614

Phone(253) 208-2061

Sole ProprietorNo

Enumeration DateOctober 16, 2025

NPPES CertifiedOctober 16, 2025

✔ NPI 1124994975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in AZ · RN173770

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2901 BRIDGEPORT WAY W, University Place, WA 98466

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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