Provider Demographics
NPI:1831167071
Name:METCALFE, MONTY S (MD)
Entity type:Individual
Prefix:DR
First Name:MONTY
Middle Name:S
Last Name:METCALFE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-0936
Mailing Address - Country:US
Mailing Address - Phone:606-330-7818
Mailing Address - Fax:606-330-7825
Practice Address - Street 1:701 BOB O LINK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3759
Practice Address - Country:US
Practice Address - Phone:859-224-3194
Practice Address - Fax:859-219-3304
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY20208207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000053287OtherANTHEM BLUECRASSBLUESHIEL
KY1400579OtherFIRST HEALTH
KY20208OtherSTATE LICENSE
KY830001052OtherRAILROAD MEDICARE
KY4274328OtherAETNA
KY64202088Medicaid
KY64202088Medicaid
000000053287OtherANTHEM BLUECRASSBLUESHIEL
KY4274328OtherAETNA