Provider Demographics
NPI:1205856887
Name:FINCH, MONTE GENE (DO)
Entity type:Individual
Prefix:MR
First Name:MONTE
Middle Name:GENE
Last Name:FINCH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S 8TH ST
Mailing Address - Street 2:SUITE 480W
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2400
Mailing Address - Country:US
Mailing Address - Phone:270-759-4000
Mailing Address - Fax:270-752-2857
Practice Address - Street 1:300 S 8TH ST STE 509E
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2403
Practice Address - Country:US
Practice Address - Phone:270-759-4000
Practice Address - Fax:270-752-2857
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TND0762207RG0100X
KY02160207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64021603Medicaid
KY64021603Medicaid
KYC36476Medicare UPIN
KY02160OtherSTATE LICENSE NUMBER
KY1463801Medicare ID - Type Unspecified
OH0061858Medicaid
KY64021603Medicaid
KYK034160Medicare PIN