Individual
DR. MONTY S METCALFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 BOB O LINK DR, SUITE 100, LEXINGTON, KY 40504-3759
(859) 224-3194
(859) 219-3304
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000053287
ANTHEM BLUECRASSBLUESHIEL
—
01
—
1400579
FIRST HEALTH
KY
01
—
20208
STATE LICENSE
KY
01
—
4274328
AETNA
KY
05
—
64202088
—
KY
01
—
830001052
RAILROAD MEDICARE
KY
Enumeration date
03/14/2006
Last updated
03/07/2023
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