Provider Demographics
NPI:1528260874
Name:MONTGOMERY, KARON RENE (MS, CGC)
Entity type:Individual
Prefix:
First Name:KARON
Middle Name:RENE
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:KARON
Other - Middle Name:RENE
Other - Last Name:MCMILLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:1107 S LEMAY AVE UNIT 300
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3955
Mailing Address - Country:US
Mailing Address - Phone:970-495-7946
Mailing Address - Fax:970-493-2990
Practice Address - Street 1:1107 S LEMAY AVE UNIT 300
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3955
Practice Address - Country:US
Practice Address - Phone:970-495-7946
Practice Address - Fax:970-493-2990
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS