Individual
JOANNE MICHELLE KAKATY-MONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
39 RITTENHOUSE PL, ARDMORE, PA 19003-2209
(610) 420-1615
(610) 642-1607
Mailing address
2250 OLD SENTINEL TRL, MALVERN, PA 19355-7500
(610) 420-1615
(610) 642-1607
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS012324
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067549TGW
MEDICARE PIN
—
01
—
0870850
CIGNA
—
01
—
1583457
BLUE SHIELD
PA
01
—
1583457
BCBS PA HIGHMARK
—
01
—
2262292000
BCBS PA PERCHOICE
—
01
—
3873485
AETNA
—
01
—
7631545
AETNA
PA
01
—
OS012324
MEDICAL LICENSE
—
Enumeration date
04/20/2006
Last updated
04/11/2024
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