Individual
IGNACIO MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4003 KRESGE WAY, STE 500, LOUISVILLE, KY 40207
(502) 897-1166
(502) 897-1461
Mailing address
2700 STANLEY GAULT PKWY, STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4917
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
33403
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652533
ANTHEM
KY
01
—
3769728000
PASSPORT ADVANTAGE
KY
01
—
50027621
PASSPORT
KY
05
—
64334030
—
KY
Enumeration date
02/13/2006
Last updated
12/04/2020
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