Provider Demographics
NPI:1982858973
Name:CAMPBELL, DUSTIN SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:SCOTT
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:WHITESBURG ARH SURGICAL CLINIC
Mailing Address - Street 2:214 HOSPITAL ROAD, SUITE A
Mailing Address - City:WHITESBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41858
Mailing Address - Country:US
Mailing Address - Phone:606-633-2256
Mailing Address - Fax:606-633-3814
Practice Address - Street 1:214 HOSPITAL RD STE A
Practice Address - Street 2:
Practice Address - City:WHITESBURG
Practice Address - State:KY
Practice Address - Zip Code:41858
Practice Address - Country:US
Practice Address - Phone:606-633-2256
Practice Address - Fax:606-633-3814
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY45801208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY45801OtherSTATE LICENSE