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Individual
JAMES R CICCHIELLO
Active
Individual
JAMES R CICCHIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
26217
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000364343
ANTHEM - NMA
—
01
—
000000720334
ANTHEM - ICC
KY
01
—
0000023025F
HUMANA / NMA
—
01
—
062447
SIHO - NMA
—
01
—
0724045
CIGNA / NMA
—
01
—
1193582
CHA / NMA
—
01
—
2448315000
PAD - NMA
—
01
—
50007142
PASSPORT - NMA
—
05
—
64262173
—
KY
01
—
P00266880
RRMCR - NMA
KY
Enumeration date
04/19/2006
Last updated
11/10/2014
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