Individual
DR. JAMES KENDALL CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3469 N MAYO TRL, PIKEVILLE, KY 41501-3265
(606) 432-5800
(606) 437-2307
Mailing address
3469 N MAYO TRL, PIKEVILLE, KY 41501-3265
(606) 432-5800
(606) 437-2307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1043DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176212
ANTHEM BC/BS PROVIDER NUM
KY
01
—
1043DT
LICENSE NUMBER
KY
01
—
410027123
RAILROAD MEDICARE
KY
05
—
77010437
—
KY
Enumeration date
06/13/2006
Last updated
03/07/2023
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