Healthcare Provider Details

I. General information

NPI: 1972627693
Provider Name (Legal Business Name): CAMPBELL CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5006 ATWOOD DR STE 5
RICHMOND KY
40475-8179
US

IV. Provider business mailing address

5008 ATWOOD DR SUITE 4
RICHMOND KY
40475-8184
US

V. Phone/Fax

Practice location:
  • Phone: 859-626-8833
  • Fax: 859-626-8832
Mailing address:
  • Phone: 859-626-8833
  • Fax: 859-626-8832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK SCOTT CAMPBELL
Title or Position: CHIEF EXECTUTIVE OFFICER
Credential: D. C.
Phone: 859-626-8833