Individual
MR. JUSTIN B CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
236 W MAIN ST STE 202, DANVILLE, KY 40422-1876
(859) 238-7746
(859) 236-0261
Mailing address
236 W MAIN ST STE 202, DANVILLE, KY 40422-1876
(859) 238-7746
(859) 236-0261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1806
KY
363A00000X
Physician Assistant
TC199
KY
363AM0700X
Medical Physician Assistant
PA1806
KY
363AS0400X
Surgical Physician Assistant
PA1806
KY
Other
Enumeration date
07/11/2013
Last updated
08/17/2020
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