Provider Demographics
NPI:1346387032
Name:KARA L. MONTES, D.P.M., PC
Entity Type:Organization
Organization Name:KARA L. MONTES, D.P.M., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:520-459-3339
Mailing Address - Street 1:1774 E YAQUI ST
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-8922
Mailing Address - Country:US
Mailing Address - Phone:520-459-3339
Mailing Address - Fax:520-459-3342
Practice Address - Street 1:10524 E HIGHWAY 92
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:AZ
Practice Address - Zip Code:85615-8371
Practice Address - Country:US
Practice Address - Phone:520-459-3339
Practice Address - Fax:520-459-3342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ78210Medicare PIN
4817890002Medicare NSC