Individual
DR. KATHLEEN R. MONTEMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6352 RIVER RD, NEW PORT RICHEY, FL 34652-2241
(727) 844-3551
(727) 847-0427
Mailing address
6352 RIVER RD, NEW PORT RICHEY, FL 34652-2241
(727) 844-3551
(727) 847-0427
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME37970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067205000
—
FL
05
—
268389000
—
FL
Enumeration date
07/26/2005
Last updated
10/02/2014
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