Individual
CECIL STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, ANESTHESIA DEPARTMENT, LOUISVILLE, KY 40202-2877
(502) 587-4203
(502) 587-4155
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 587-4203
(502) 587-4155
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26897
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050065790
RAILROAD MEDICARE
KY
05
—
100002250
—
IN
05
—
64268972
—
KY
01
—
CH6488
RR MEDICARE GROUP NUMBER
KY
Enumeration date
10/24/2005
Last updated
07/11/2012
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