Kelly H Montel, Pa | |
660 Glades Rd #340 Boca Raton FL 33431-6465 | |
(561) 213-1373 | |
Not Available |
Full Name | Kelly H Montel, Pa |
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Speciality | Psychologist |
Location | 660 Glades Rd, Boca Raton, Florida |
Authorized Official Name and Position | Kelly Huott Montel (PRESIDENT) |
Authorized Official Contact | 5612131373 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kelly H Montel, Pa 2863 Banyan Boulevard Cir Nw Boca Raton FL 33431-6326 Ph: () - | Kelly H Montel, Pa 660 Glades Rd #340 Boca Raton FL 33431-6465 Ph: (561) 213-1373 |
NPI Number | 1689892168 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 02/21/2012 |
Medicare PECOS PAC ID | 0648446534 |
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Medicare Enrollment ID | O20120604000103 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689892168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY5800 (Florida) | Primary |
Provider Name | Kelly H Montel |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1407060122 PECOS PAC ID: 6608036207 Enrollment ID: I20120604000168 |
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