Provider Demographics
NPI:1447546882
Name:MONTE, KENNETH ALAN (DO)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:ALAN
Last Name:MONTE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:950 N RAMONA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN JACINTO
Mailing Address - State:CA
Mailing Address - Zip Code:92582-2567
Mailing Address - Country:US
Mailing Address - Phone:951-487-2674
Mailing Address - Fax:951-487-2679
Practice Address - Street 1:950 N RAMONA BLVD
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92582-2567
Practice Address - Country:US
Practice Address - Phone:951-487-2674
Practice Address - Fax:951-487-2679
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2021-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A150022084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry