Basic Information
| Provider Information | |||||||||
| NPI: | 1669626933 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MONTGOMERY-YATES | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PULMONARY CRITICAL CARE DIVISION | ||||||||
| Address2: | 740 S. LIMESTONE, L543 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405360001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593235045 | ||||||||
| FaxNumber: | 8592472418 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 ROSE ST HQ101 | ||||||||
| Address2: | UNIVERSITY OF KENTUCKY | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593235045 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/12/2008 | ||||||||
| LastUpdateDate: | 04/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 43604 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 43604 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 390200000X | KY | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | KY43604 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 7100153830 | 05 | KY | MEDICAID | FM1570123 | 01 | KY | DEA | OTHER | 43604 | 01 | KY | KENTUCKY STATE BOARD OF MEDICAL LICENSURE | OTHER |