Individual
DUSTIN K DEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
713 BROADWAY ST, SUITE 202, PAINTSVILLE, KY 41240-1465
(606) 789-6632
(606) 886-9908
Mailing address
230 LEXINGTON GREEN CIR, STE 600, LEXINGTON, KY 40503-3326
(859) 971-4695
(859) 971-4604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03031
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100016250
—
KY
Enumeration date
05/09/2007
Last updated
12/03/2020
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