Organization
BLUEGRASS HEMATOLOGY ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTY S METCALFE M.D. (PRESIDENT)
(859) 224-3194
Entity
Organization
Contact information
Practice address
701 BOB O LINK DR, SUITE 100, LEXINGTON, KY 40504-3759
(859) 224-3194
(859) 223-4399
Mailing address
701 BOB O LINK DR, SUITE 100, LEXINGTON, KY 40504-3759
(859) 224-3194
(859) 223-4399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65920597
—
KY
01
—
CF7700
RRMEDICARE
KY
Enumeration date
03/01/2007
Last updated
07/31/2008
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