NPI

Dustin Craig Chennault

NPI 1700390812

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2017-11-28
Last updated
2026-05-11

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Specialties

Licenses

License FL
SW19021

Location

Practice location
209 Pauline Dr
City
Berea KY
Postal code
40403-8889
Phone
(859) 986-1259

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Berea, KY. 426 records in the public file.

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