| Doctor Name: | MR. SCOTTY DWAYNE COMBS |
| NPI Number: | 1730317561 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | 6068P |
| Business Practice Address: | 141 Main Street Beattyville, KY - 41311 |
| Business Phone Number: | 6064640151 |
| Business Fax Number: | 6064640152 |
| Mailing Address: | 125 Main Street, BEATTYVILLE |
| State: | KY |
| Postal Code: | 413118648 |
| Phone Number: | 6064642401 |
| Fax Number: | 6064643290 |
| NPI Enumeration Date: | 07/01/2009 |
| NPI Last Update Date: | 09/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6068P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |