Healthcare Provider Details

I. General information

NPI: 1346387032
Provider Name (Legal Business Name): KARA L. MONTES, D.P.M., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 01/14/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10524 E HIGHWAY 92
HEREFORD AZ
85615-8371
US

IV. Provider business mailing address

1774 E YAQUI ST
SIERRA VISTA AZ
85650-8922
US

V. Phone/Fax

Practice location:
  • Phone: 520-459-3339
  • Fax: 520-459-3342
Mailing address:
  • Phone: 520-459-3339
  • Fax: 520-459-3342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: KARA L MONTES
Title or Position: PRESIDENT
Credential: DPM
Phone: 520-459-3339