| A. Brent Chumbley, Psc | |
|
727 W Cumberland Gap Pkwy Suite D Corbin KY 40701-5194 | |
| (606) 523-2000 | |
| (606) 523-2823 |
| Full Name | A. Brent Chumbley, Psc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 727 W Cumberland Gap Pkwy, Corbin, Kentucky |
| Authorized Official Name and Position | Alvin Brent Chumbley (PRESIDENT - OWNER) |
| Authorized Official Contact | 6065232000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Brent Chumbley, Psc 727 W Cumberland Gap Pkwy Suite D Corbin KY 40701-5194 Ph: (606) 523-2000 | A. Brent Chumbley, Psc 727 W Cumberland Gap Pkwy Suite D Corbin KY 40701-5194 Ph: (606) 523-2000 |
| NPI Number | 1649543034 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649543034 | NPI | - | NPPES |
| 60043189 | Medicaid | KY | |
| 9178567 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4318 (Kentucky) | Primary |
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