Provider Demographics
NPI:1033919758
Name:SNOW MONTOYA, KAROLYN KAY
Entity type:Individual
Prefix:
First Name:KAROLYN
Middle Name:KAY
Last Name:SNOW MONTOYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 AVENUE A
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-1313
Mailing Address - Country:US
Mailing Address - Phone:308-529-8998
Mailing Address - Fax:
Practice Address - Street 1:901 AVENUE L APT 20
Practice Address - Street 2:
Practice Address - City:COZAD
Practice Address - State:NE
Practice Address - Zip Code:69130-1357
Practice Address - Country:US
Practice Address - Phone:308-529-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion