| |
1035 Cass St Monterey CA 93940-4517 | |
(831) 886-0030 | |
(831) 886-0031 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1035 Cass St, Monterey, California |
Authorized Official Name and Position | Benton Kinney (OWNER) |
Authorized Official Contact | 5302267419 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1035 Cass St Monterey CA 93940-4517 Ph: (831) 886-0030 | 1035 Cass St Monterey CA 93940-4517 Ph: (831) 886-0030 |
NPI Number | 1689310617 |
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Provider Enumeration Date | 05/11/2022 |
Last Update Date | 02/06/2024 |
Certification Date | 02/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689310617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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