MEDICARE: CAMPBELL CHIROPRACTIC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner
2	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4523	OTHER	KY	STATE LICENSE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972627693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMPBELL CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	5008 ATWOOD DR
Second Line	:	SUITE 4
City	:	RICHMOND
State	:	KY
Zip	:	40475-8184
Country	:	US
Telephone Number	:	859-626-8833
Fax Number	:	859-626-8832

Provider Business Practice Location Address
First Line	:	5006 ATWOOD DR STE 5
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-8179
Country	:	US
Telephone Number	:	859-626-8833
Fax Number	:	859-626-8832

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

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	09/18/2025

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